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

Dr. Brian Edward Raines, PSYD

Individual provider Clinical Psychologist · NPI 1598438285

Dr. Brian Edward Raines, PSYD is a Clinical Psychologist in Jackson, California. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2021
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

12060 Industry Blvd # 1060
Jackson, CA 95642-9310
Phone: (209) 560-9443
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY35461 (CA)

Record details

NPI number1598438285
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJuly 28, 2021
Last updated in NPPESNovember 30, 2024
Certification dateNovember 30, 2024
Mailing address12060 Industry Blvd # 1060, Jackson, CA 95642-9310

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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