Individual provider Active NPI

Allison Brown, PSYD

  • Clinical Psychologist
  • Lake Balboa, CA
National Provider Identifier
1003430430
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31790 Issued in CA
Practice address
6459 Aldea Ave
Lake Balboa, CA 91406-5402
Phone
(818) 468-3808
NPI assigned
Jun 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 31790 CA Primary

Addresses

Primary practice location

6459 Aldea Ave
Lake Balboa, CA 91406-5402

Mailing address

PO Box 17281
Encino, CA 91416-7281
Phone (818) 468-3808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200619001763 CA Practitioner - Clinical Psychologist 8729400700 Reassigns benefits to 3 organizations
Practice locations: Agoura Hills, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Psychology Incorporated Clinical CurrentSince Jul 16, 2023 Accepting new patients
Karpus Medical Group Inc Single Specialty CurrentSince Sep 8, 2021 Accepting new patients
Shannon Dobbs Psy.D Corp Clinical CurrentSince Jun 1, 2020 Accepting new patients

Locations

28310 Roadside Dr
Ste 203
Agoura Hills, CA 91301
Phone (310) 428-2431

925 W Alameda Ave
Burbank, CA 91506
Phone (818) 843-1771

325 E Hillcrest Dr
Ste 240
Thousand Oaks, CA 91360
Phone (310) 271-4407

20251 Ventura Blvd
Ste A
Woodland Hls, CA 91364
Phone (818) 883-9000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1003430430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17281",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914167281",
            "telephone_number": "818-468-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6459 ALDEA AVE",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914065402",
            "telephone_number": "818-468-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ALLISON",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "31790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Balboa, CA

Sources for this page

Verify at the official NPI Registry.