Amy G Brown, LP, LSSP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

36123 Issued in TX

Practice address

13785 Research Blvd
Suite 125
Austin, TX 78750-1873

Phone

(512) 238-3042

Fax

(512) 655-2101

NPI assigned

Feb 6, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Amy G Guthrie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1013256312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13785 RESEARCH BLVD",
            "address_2": "125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501873",
            "telephone_number": "512-238-3042",
            "fax_number": "512-655-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13785 RESEARCH BLVD",
            "address_2": "SUITE 125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501873",
            "telephone_number": "512-238-3042",
            "fax_number": "512-655-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "AMY",
        "middle_name": "G",
        "credential": "LP, LSSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36123",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "36123",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GUTHRIE",
            "middle_name": "G",
            "credential": "LP, LSSP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra Brown
• Alice R Brown, BCNWP
• Alicia Julie Brown, LCSW
• Alyza Brown, LCSW
• Amy Brown
• Ann Thompson Brown, CCC SLP
• Ava Brown
• Ayana Natasha Brown
• Bianca Danielle Brown
• Brandee Brown, LPC

• Clinical Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.