GINGER KENDELL BRAINARD
NPI 1871842450
Psychologist - Clinical Child & Adolescent in La Salle, IL

Q: What is Ginger Brainard's NPI number?

The NPI number for Ginger Brainard is 1871842450. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Q: What is Ginger Brainard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ginger Brainard was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 29, 2012PECOS Enrolled

2970 CHARTRES ST, LA SALLE, IL 61301(815) 223-0196(815) 223-0358 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ginger Kendell Brainard NPPES

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

GINGER KENDELL BRAINARD (NPI 1871842450) is an individual clinical child & adolescent provider in La Salle, Illinois, licensed in Illinois (071006571) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871842450

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameGINGER KENDELL BRAINARD

Location Address2970 CHARTRES STLa Salle, IL 61301-1097

Mailing Address2970 Chartres StLa Salle, IL 61301-1097 · (815) 223-0196 · Fax (815) 223-0358

Phone(815) 223-0196

Fax(815) 223-0358

Sole ProprietorNo

Enumeration DateAugust 29, 2012

✔ NPI 1871842450 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 IL · 071006571

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.

2970 CHARTRES ST, La Salle, IL 61301

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Other Identifiers 1

Other071006571IL · Illinois License 071006571

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ginger Kendell Brainard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 12

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

MRS. MICHAL Y GOLDSTEIN MSW

Social Worker (Clinical)