Provider Demographics
NPI:1861286098
Name:BRAIN INSIGHTS PSYCHOLOGICAL SOLUTIONS PC
Entity type:Organization
Organization Name:BRAIN INSIGHTS PSYCHOLOGICAL SOLUTIONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, NEUROPSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MICKELL
Authorized Official - Middle Name:
Authorized Official - Last Name:LETHCO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:925-322-1261
Mailing Address - Street 1:1990 N CALIFORNIA BLVD STE 830
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-7261
Mailing Address - Country:US
Mailing Address - Phone:925-322-1261
Mailing Address - Fax:
Practice Address - Street 1:1990 N CALIFORNIA BLVD STE 830
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-7261
Practice Address - Country:US
Practice Address - Phone:925-322-1261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & AgingGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamilyGroup - Multi-Specialty
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Multi-Specialty