Individual provider Active NPI

Chad Brinkley, PH.D, ABPP

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1982407722
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS019747 Issued in PA
Practice address
1516 N 5TH St Unit 401
Philadelphia, PA 19122-3679
Phone
(267) 861-3685
NPI assigned
Mar 28, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X PS019747 PA
Clinical Psychologist 103TC0700X PS019747 PA Primary

Addresses

Primary practice location

1516 N 5TH St Unit 401
Philadelphia, PA 19122-3679

Mailing address

901 N Penn St Unit R407
Philadelphia, PA 19123-3145
Phone (713) 253-0075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250428001241 PA Practitioner - Clinical Psychologist 6002332616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Equilibria Mental Health ServicesGroup PAC ID 5698166783, 28 clinicians

Practice addresses (Care Compare)

1516 N 5TH St
Unit 401
Philadelphia, PA 19122-3679
Phone (267) 861-3685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Equilibria Mental Health Services CurrentSince Apr 15, 2025 Accepting new patients
Equilibria Psychological and Consultation Services, LLC Clinical CurrentSince Jul 30, 2011 Accepting new patients
Equilibria Mental Health of New Jersey LLC Clinical PastSince Mar 24, 2025 Accepting new patients

Locations

525 S 4th St
Ste 471
Philadelphia, PA 19147
Phone (215) 861-3685

1516 N 5th St
Unit 401
Philadelphia, PA 19122

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1982407722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N PENN ST UNIT R407",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233145",
            "telephone_number": "713-253-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 N 5TH ST UNIT 401",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191223679",
            "telephone_number": "267-861-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKLEY",
        "first_name": "CHAD",
        "credential": "PH.D, ABPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "PA",
            "license": "PS019747",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.