Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Brain Wave Psychological Neurotherapy Associates Inc

Organization Psychologist · NPI 1871029074

Brain Wave Psychological Neurotherapy Associates Inc provides Psychologist services 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