BRAIN WAVE PSYCHOLOGICAL NEUROTHERAPY ASSOCIATES INC.
NPI 1871029074
Psychologist in Eagle Rock, CA

Active since May 08, 2017
850 COLORADO BLVD 203, EAGLE ROCK, CA 90041(818) 821-6012(818) 821-6014 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brain Wave Psychological Neurotherapy Associates Inc. NPPES

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

BRAIN WAVE PSYCHOLOGICAL NEUROTHERAPY ASSOCIATES INC. (NPI 1871029074) is a healthcare organization registered as a psychologist in Eagle Rock, California and active in the NPI registry since May 2017. The organization lists Daniel T. Mckinney, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871029074
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameBRAIN WAVE PSYCHOLOGICAL NEUROTHERAPY ASSOCIATES INC.
Location Address850 COLORADO BLVD 203Eagle Rock, CA 90041-1733
Mailing Address850 Colorado Blvd Ste 203Eagle Rock, CA 90041-1733 · (818) 821-6012 · Fax (818) 821-6014
Fax(818) 821-6014
Organization SubpartNo
Authorized OfficialDaniel T. MckinneyCeo · (818) 821-6012
Enumeration DateMay 8, 2017
NPI 1871029074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY28004
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
850 COLORADO BLVD 203, Eagle Rock, CA 90041

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Brain Wave Psychological Neurotherapy Associates Inc.'s NPI number?

The NPI number for Brain Wave Psychological Neurotherapy Associates Inc. is 1871029074. It was assigned to this organization in the NPPES registry on May 8, 2017.

Where is Brain Wave Psychological Neurotherapy Associates Inc. located?

Brain Wave Psychological Neurotherapy Associates Inc. is located at 850 Colorado Blvd 203, Eagle Rock, CA 90041. The listed phone number is (818) 821-6012.

What is Brain Wave Psychological Neurotherapy Associates Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Brain Wave Psychological Neurotherapy Associates Inc. was last updated on May 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.