DR. BRENDAN JOSEPH KIERNAN (NPI# 1699805044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699805044 |
| Entity Type | Individual |
| Full Name | DR. BRENDAN JOSEPH KIERNAN |
| Credential | PSYD DOCTOR OF PSYCH |
| Practice Address |
9080 Ninnis Drive Juneau AK 99801 |
| Practice Telephone | 9075864266 |
| Practice Fax Number | 9075234689 |
| Mailing Telephone | 9075864266 |
| Mailing Fax Number | 9075234689 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
506 | AK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | LIC PSYCHOLOGIST | 506 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689020638 | Brendan Kiernan | Occupational Therapist | 1321 S 15th St, Philadelphia, PA 19146-4801 | 2016-05-09 |
| 1376906891 | Brendan Kiernan | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2016-04-01 |
| Street Address |
9080 NINNIS DRIVE |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679622583 | John Walter Kesselring | Psychologist | 175 S Franklin St, Suite 318, Juneau, AK 99801-1321 | 2007-01-09 |
| 1003367822 | Healthy Psychological Futures LLC | Psychologist | 9000 Glacier Hwy, Juneau, AK 99801-8032 | 2016-10-17 |
| 1760703573 | Steven Jozwiak | Psychologist | 9000 Glacier Hwy, Suite 205, Juneau, AK 99801-8097 | 2010-06-15 |
| 1477699247 | Destiny Sargeant | Psychologist | 9000 Glacier Hwy, Juneau, AK 99801-8032 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659911766 | Matthew James Vogler | Psychologist | 3340 Providence Dr Ste 565, Anchorage, AK 99508-4643 | 2020-01-07 |
| 1538640537 | Rachel Suzanne Woods | Psychologist | 2600 Denali St Ste 450, Anchorage, AK 99503-2754 | 2018-08-27 |
| 1003304346 | James Kyle Timmons | Psychologist | 1020 Potlatch Cir, Anchorage, AK 99503-1728 | 2018-04-23 |
| 1679990279 | Daniel Lord | Psychologist | 600 Richardson Drive Community Center, Fort Richardson, Anchorage, AK 99505 | 2014-03-21 |
| 1457780678 | Cody Chipp | Psychologist | 1131 E International Rd, Anchorage, AK 99518-1408 | 2013-11-07 |
| 1932497617 | Life Coach Psychology Plc | Psychologist | 3105 Lakeshore Dr, Suite B102, Anchorage, AK 99517-2806 | 2011-07-15 |
| 1891085007 | Terri Draper | Psychologist | 4320 Diplomacy Drive, Suite 1500, Anchorage, AK 99508 | 2011-04-10 |
| 1720383185 | Nicole Levaillant | Psychologist | Building 786 D Street, Anchorage, AK 99505 | 2011-01-17 |
| 1215231345 | Irmgard Jo Romine | Psychologist | 3980 Dunlap Ave, Fairbanks, AK 99709-3509 | 2011-01-04 |
| 1144549924 | Christopher Scott Brown | Psychologist | 3180 Peger Rd Ste 248, Fairbanks, AK 99709-5485 | 2010-05-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.