Wendy Jean Brandon, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

15707 Issued in CA

Practice address

1836 Central Ave Ste a
McKinleyville, CA 95519-3667

Phone

(707) 445-4705

Fax

(707) 445-0581

NPI assigned

Sep 20, 2006

Last updated

Apr 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

House Psychiatric Clinic IncGroup PAC ID 4587742432, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• House Psychiatric Clinic, Inc.

  • Psychiatry Physician
  • Fresno, CA
  • NPI 1235314246
  Medicare reassignment Care Compare group NPD
• County of Humboldt

  • State or Local Public Health Clinic/Center
  • Eureka, CA
  • NPI 1871676213
  Medicare reassignment NPD
• Soper Family Psychiatry Medical Group

  • Medical Specialty Clinic/Center
  • McKinleyville, CA
  • NPI 1699158634
  Medicare reassignment NPD
• County of del Norte

  dba DHHS Behavioral Health Branch

  • Community/Behavioral Health Agency
  • Crescent City, CA
  • NPI 1790801116
  Medicare reassignment
• County of Humboldt

  dba Humboldt County Behavioral Health

  • Community/Behavioral Health Agency
  • Eureka, CA
  • NPI 1033300306
  NPD
• County of Humboldt

  • Clinical Medical Laboratory
  • Eureka, CA
  • NPI 1689751687
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1912004896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 CENTRAL AVE STE A",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955193667",
            "telephone_number": "707-445-4705",
            "fax_number": "707-445-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 CENTRAL AVE STE A",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955193667",
            "telephone_number": "707-445-4705",
            "fax_number": "707-445-0581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1322 E Shaw Ave Ste 410",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937107904",
            "country_code": "US",
            "telephone_number": "559-226-1316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 W St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955010834",
            "country_code": "US",
            "telephone_number": "707-445-4705",
            "fax_number": "707-445-0581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "WENDY",
        "middle_name": "JEAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "15707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan H Bloch, D.O.
• Maya M Blumenthal, RN
• Christina Elizabeth Bobowski, PHARMD
• Nancy Dolores Borge-Riis, MFT
• Heather Anastasia Bowen
• Sunny Allison Breed
• Kimberly Irene Brown
• Lori Lyn Brown, PHD
• Morgan Brown
• Heidi Mae Brust

• Psychiatric/Mental Health Nurse Practitioner in McKinleyville, CA
• Providers in McKinleyville, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.