Active NPI
Paul M. Brinich, PHD
- Psychoanalysis Psychologist
- San Rafael, CA
National Provider Identifier
1952395170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- License
- 1556
- Practice address
- 100 Thorndale Dr Apt 364
San Rafael, CA 94903-4578 - Phone
- (919) 442-8653
- NPI assigned
- Sep 2, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1556 | NC | |
| Psychoanalysis Psychologist | 103TP0814X | 1556 | NC | Primary |
| Psychologist | 103T00000X | 1556 | NC | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 1556 | NC |
Addresses
Primary practice location
100 Thorndale Dr Apt 364
San Rafael, CA 94903-4578
Mailing address
100 Thorndale Dr Apt 364
San Rafael, CA 94903-4578
Phone (919) 442-8653
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0331E | Other | NC | BLUE CROSS / BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1556 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1952395170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 THORNDALE DR APT 364",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949034578",
"telephone_number": "919-442-8653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 THORNDALE DR APT 364",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949034578",
"telephone_number": "919-442-8653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINICH",
"first_name": "PAUL",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "1556",
"primary": false
},
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "NC",
"license": "1556",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "1556",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NC",
"license": "1556",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS / BLUE SHIELD",
"identifier": "0331E",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.