Healthcare Provider Details

I. General information

NPI: 1558933861
Provider Name (Legal Business Name): KAI BRIANA ALEXANDER PSY D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2021
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 EL CAMINO REAL STE 120
MENLO PARK CA
94025-4884
US

IV. Provider business mailing address

700 EL CAMINO REAL STE 120
MENLO PARK CA
94025-4884
US

V. Phone/Fax

Practice location:
  • Phone: 650-204-1246
  • Fax:
Mailing address:
  • Phone: 650-204-1246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY34569
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: