=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386550028
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BRINKLEY PSYCHOLOGY PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/21/2026
-----------------------------------------------------
Last Update Date | 08/21/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5006 MONUMENT AVE STE B
-----------------------------------------------------
City | RICHMOND
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23230-3637
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-205-7624
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4103 KENSINGTON AVE
-----------------------------------------------------
City | RICHMOND
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23221-1930
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-840-3980
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER / PSYCHOLOGIST
-----------------------------------------------------
Name | DR. MAGUIRE BRINKLEY
-----------------------------------------------------
Credential | PSYD
-----------------------------------------------------
Telephone | 804-205-7624
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------