Active NPI
Brian Sheehan Brown, PSYD
- Psychologist
- Chicago, IL
National Provider Identifier
1013345636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 071.008955
- Practice address
- 1525 E 53Rd St
Suite 516-6
Chicago, IL 60615-4557 - Phone
- (917) 408-3148
- NPI assigned
- Oct 16, 2013
- Last updated
- Feb 20, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 020262-1 | NY | |
| Psychologist | 103T00000X | 071.008955 | IL | Primary |
Addresses
Primary practice location
1525 E 53Rd St
Suite 516-6
Chicago, IL 60615-4557
Mailing address
1525 E 53Rd St
Suite 516-6
Chicago, IL 60615-4557
Phone (917) 408-3148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.008955 | IL | MD | Psychologist |
| 020262-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1013345636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 E 53RD ST",
"address_2": "SUITE 516-6",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606154557",
"telephone_number": "917-408-3148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 E 53RD ST",
"address_2": "SUITE 516-6",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606154557",
"telephone_number": "917-408-3148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "BRIAN",
"middle_name": "SHEEHAN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-16",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "020262-1",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "071.008955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.