MR. BRIAN PAUL KLINCK (NPI# 1649412743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649412743 |
Entity Type | Individual |
Full Name | MR. BRIAN PAUL KLINCK |
Credential | PSYD |
Practice Address |
13640 N 99th Ave Suite 100 Sun City AZ 85351 |
Mailing Address |
3815 E Bell Rd #2400 Phoenix AZ 85032 |
Practice Telephone | 6233225700 |
Practice Fax Number | 6233375305 |
Mailing Telephone | 6233225700 |
Mailing Fax Number | 6233375305 |
Enumeration Date | 2009-04-03 |
Last Update Date | 2017-03-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 4039 | AZ | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
4039 | AZ | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 441623 | 05 |
Street Address |
13640 N 99TH AVE SUITE 100 |
City | SUN CITY |
State | AZ |
Zip Code | 85351 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881689792 | Daryl Scott Hutchinson | Internal Medicine | 13640 N 99th Ave, Ste 600, Sun City, AZ 85351-2866 | 2005-09-16 |
1063998912 | Dina Marie Gibson | Nurse Practitioner | 13640 N 99th Ave, Sun City, AZ 85351-2866 | 2018-07-13 |
1043642796 | Az Care Anesthesia, Plc | Anesthesiology | 13640 N 99th Ave, Suite 600, Sun City, AZ 85351-2861 | 2013-08-05 |
1326344185 | Nicholas Scott Thompson | Physician Assistant | 13640 N 99th Ave, Suite 100, Sun City, AZ 85351-2861 | 2011-01-26 |
1518147701 | Yvette Lam-tsai | Internal Medicine | 13640 N 99th Ave, Ste 600, Sun City, AZ 85351-2866 | 2007-11-06 |
1871704502 | Patricia A Carroll, M.d.p.c | Clinic/Center | 13640 N 99th Ave, Suite 300, Sun City, AZ 85351-2861 | 2007-05-24 |
1972578771 | Sun City Az Endoscopy Asc LLC | Clinic/Center | 13640 N 99th Ave, Suite 700, Sun City, AZ 85351-2861 | 2006-02-23 |
1124008255 | Patricia Ann Carroll-chen | Dermatology | 13640 N 99th Ave, Suite #300, Sun City, AZ 85351-2861 | 2006-01-17 |
1720074800 | Stephen Charles Sirota | Physical Medicine & Rehabilitation | 13640 N 99th Ave, Suite 100, Sun City, AZ 85351-2866 | 2005-09-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467003566 | T&h Hearing LLC | Hearing Aid Equipment | 13616 N. 99th Ave., Sun City, AZ 85351 | 2019-09-20 |
1881247682 | Amanda M Neri | Physician Assistant | 10401 W. Thunderbird Blvd Md Anderson - Banner Boswell, Sun City, AZ 85351 | 2019-07-20 |
1649822313 | Azmed Rehab LLC | Family Medicine | 14281 North Del Webb Blvd, Sun City, AZ 85351 | 2019-07-12 |
1982182267 | Akdhc, LLC | Internal Medicine | 10249 W Thunderbird Blvd Ste 100, Sun City, AZ 85351 | 2018-07-30 |
1871084814 | Amy Mikulec | Physical Therapist | Banner Physical Therapy and Rehab Boswell, 10503 W Thunderbird Blvd Suite 263a, Sun City, AZ 85351 | 2018-05-25 |
1194238345 | Lorie Jo Matthews | Nurse Practitioner | 10494 W Thunderbird Blvd Ste 102, Sun City, AZ 85351 | 2017-11-09 |
1184153363 | Susan Jane Hockman | Registered Nurse | 14601 N Delwebb Blvd, Sun City, AZ 85351 | 2017-06-09 |
1043769169 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 13203 N 103rd Ave Ste J1&j2, Sun City, AZ 85351 | 2016-09-30 |
1033563002 | Vittoria Giovannucci | Technician/Technologist | 10503 W Thunderbird Blvd Ste 101a, Sun City, AZ 85351 | 2016-04-15 |
1669858379 | Qui Nguyen | Pharmacist | 10660 Nw Grand Ave, Sun City, AZ 85351 | 2015-08-04 |
Find all providers in zip 85351 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548618887 | Christina Marie Figueroa | Clinical Neuropsychologist | 10474 W Thunderbird Blvd Ste 201, Sun City, AZ 85351-3015 | 2016-05-26 |
1821135708 | Karla Ann Mueller-schrader | Clinical Neuropsychologist | 10451 W Palmeras Dr, Suite 126c, Sun City, AZ 85373-2011 | 2007-01-31 |
1952392755 | Kris E. Kratz | Clinical Neuropsychologist | 10494 W Thunderbird Blvd, Suite 108, Sun City, AZ 85351-3058 | 2005-10-31 |
1801401369 | Tamara Fisher | Clinical Neuropsychologist | 10474 W Thunderbird Blvd Ste 201, Sun City, AZ 85351-3015 | 2020-09-11 |
1831754050 | Nathan A. Harris | Clinical Neuropsychologist | 10474 W Thunderbird Blvd Ste 201, Sun City, AZ 85351-3015 | 2019-05-02 |
1437506490 | Briana Auman | Clinical Neuropsychologist | 10515 W Santa Fe Dr, Sun City, AZ 85351-3020 | 2016-05-19 |
1326474180 | Jessica Julia Powell | Clinical Neuropsychologist | 10515 W Santa Fe Dr, Sun City, AZ 85351-3020 | 2013-09-24 |
1497063424 | Theodore Webster Etling Jr. | Clinical Neuropsychologist | 10474 W Thunderbird Blvd, 200, Sun City, AZ 85351-3023 | 2010-09-24 |
1124293220 | Sun Health Research Institute | Clinical Neuropsychologist | 10515 W Santa Fe Dr, Sun City, AZ 85351-3020 | 2008-04-29 |
1831369396 | Sun Health Research Institute | Clinical Neuropsychologist | 10515 W Santa Fe Dr, Sun City, AZ 85351-3020 | 2008-03-11 |
Find all providers in SUN CITY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.