Healthcare Provider Details

I. General information

NPI: 1386550028
Provider Name (Legal Business Name): BRINKLEY PSYCHOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5006 MONUMENT AVE STE B
RICHMOND VA
23230-3637
US

IV. Provider business mailing address

4103 KENSINGTON AVE
RICHMOND VA
23221-1930
US

V. Phone/Fax

Practice location:
  • Phone: 804-205-7624
  • Fax:
Mailing address:
  • Phone: 804-840-3980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. MAGUIRE BRINKLEY
Title or Position: OWNER / PSYCHOLOGIST
Credential: PSYD
Phone: 804-205-7624