DR. BRENDA NICHELLE MCKINLEY
NPI 1740469543
Psychologist - Clinical Child & Adolescent in San Leandro, CA

Active since October 29, 2007PECOS Enrolled
2275 ARLINGTON DR, SAN LEANDRO, CA 94578(510) 317-1444 Get Directions Write a Review

NPPES record last updated: April 9, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Brenda Nichelle Mckinley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRENDA NICHELLE MCKINLEY (NPI 1740469543) is an individual clinical child & adolescent provider in San Leandro, California, licensed in California (26804) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1740469543
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. BRENDA NICHELLE MCKINLEY
Location Address2275 ARLINGTON DRSan Leandro, CA 94578-1132
Mailing Address2275 Arlington DrSan Leandro, CA 94578-1132 · (510) 317-1444
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 29, 2007
Last NPPES UpdateApril 9, 2015
✔ NPI 1740469543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in CA · 26804
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
2275 ARLINGTON DR, San Leandro, CA 94578

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brenda Nichelle Mckinley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244703593
PECOS Enrollment IDI20260626004092
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Brenda Mckinley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Counselor (Mental Health)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Counselor
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Counselor (Mental Health)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Counselor
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Counselor (Mental Health)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Counselor
2275 ARLINGTON DR
SAN LEANDRO, CA 94578

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenda Mckinley's NPI number?

The NPI number for Brenda Mckinley is 1740469543. It was assigned to this individual provider in the NPPES registry on October 29, 2007.

Where is Brenda Mckinley located?

Brenda Mckinley practices at 2275 Arlington Dr, San Leandro, CA 94578. The listed phone number is (510) 317-1444.

What is Brenda Mckinley's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Brenda Mckinley enrolled in Medicare?

Yes. Brenda Mckinley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brenda Mckinley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Mckinley reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brenda Mckinley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brenda Mckinley was last updated on April 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.