Active NPI
Brenda Joy McKinney, B.S., M.S.
- Rehabilitation Psychologist
- Las Vegas, NV
National Provider Identifier
1821336645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- Practice address
- 371 Hollins Hall St
Las Vegas, NV 89145-8717 - Phone
- (702) 510-1058
- NPI assigned
- Jan 29, 2013
- Last updated
- Jan 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | NU | Primary |
Addresses
Primary practice location
371 Hollins Hall St
Las Vegas, NV 89145-8717
Mailing address
371 Hollins Hall St
Las Vegas, NV 89145-8717
Phone (702) 510-1058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science, Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1821336645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "371 HOLLINS HALL ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891458717",
"telephone_number": "702-510-1058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "371 HOLLINS HALL ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891458717",
"telephone_number": "702-510-1058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "BRENDA",
"middle_name": "JOY",
"name_prefix": "Ms.",
"credential": "B.S., M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-29",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.