Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brain Wave Psychological Neurotherapy Associates Inc

Organization Psychologist · NPI 1871029074

Brain Wave Psychological Neurotherapy Associates Inc is a Psychologist in Eagle Rock, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

850 Colorado Blvd 203
Eagle Rock, CA 90041-1733
Phone: (818) 821-6012
Fax: (818) 821-6014
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY28004 (CA)

Record details

NPI number1871029074
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel McKinney — Ceo · (818) 821-6012
NPI enumeratedMay 8, 2017
Last updated in NPPESMay 8, 2017
Mailing address850 Colorado Blvd Ste 203, Eagle Rock, CA 90041-1733