Brenda McKinley, PSYD, Psychological Services Incorporated

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

BRENDA MCKINLEY, PSYD, PSYCHOLOGICAL SERVICES INCORPORATED

Practice address

7 4TH St Ste 19
Petaluma, CA 94952-3072

Phone

(415) 830-4648

NPI assigned

Feb 21, 2019

Last updated

Feb 21, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brenda McKinley, PSYDNPI 1740469543

Title

Director

Phone

(415) 830-4648

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenda Nichelle McKinley

  • Clinical Child & Adolescent Psychologist
  • San Leandro, CA
  • NPI 1740469543
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1821555210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 4TH ST STE 19",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 4TH ST STE 19",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523072",
            "telephone_number": "415-830-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA MCKINLEY, PSYD, PSYCHOLOGICAL SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "MCKINLEY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-830-4648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jean Sterrett Brennan, O.D.
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• Sean Brennan, MA, BCBA
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• Clinical Psychologist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.