Keri R Brown, PH.D.
Individual provider Active NPI Clinical Psychologist · Madison, WI
NPI 1013209352 · NPPES record last updated Aug 10, 2026
Key facts
- NPI
- 1013209352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 3512-57 (WI)
- Practice address
- 6402 Odana Rd Ste 202
Madison, WI 53719-1123 - Phone
- (608) 370-2345
- Fax
- (608) 338-0686
- NPI assigned
- May 4, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Keri Brown PHD, LLC Dba Pure Ocd Therapy
Practice addresses (Care Compare)
6402 Odana Rd
Suite 304
Madison, WI 53719-1123
Phone (608) 370-2345
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230329003236 | WI | Practitioner - Clinical Psychologist | 9638341670 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91411 | WV | MD | Clinical Neuropsychologist |
| 34949 | TX | MD | Clinical Psychologist |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d9c821ad-f606-4b46-ae24-763b32cdc289/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 34949 | TX | |
| Clinical Psychologist | 103TC0700X | 3512-57 | WI | Yes |
Addresses
Primary practice location
6402 Odana Rd Ste 202
Madison, WI 53719-1123
Mailing address
6402 Odana Rd Ste 202
Madison, WI 53719-1123
Phone (608) 370-2345
Other providers in Madison, WI
- Hannah Brown
- Jared Brown
- Jessica Brown
- Joan V. Brown
- Julianne J Brown
- Kimberely Ann Brown
- Laura E Brown
- Lukas James Brown
- Matthew M Brown
- Nicholas Brown
All providers in Madison, WI · Clinical Psychologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.