Individual provider Active NPI

Patricia Jane Brown, PHD MFT LAC

  • Marriage & Family Therapist
  • Petaluma, CA
National Provider Identifier
1023155090
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC12131 Issued in CA
Practice address
513 Petaluma Blvd South
Petaluma, CA 94952-5128
Phone
(707) 762-2240
Fax
(707) 762-9290
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC12131 CA Primary
Acupuncturist 171100000X AC3234 CA

Addresses

Primary practice location

513 Petaluma Blvd South
Petaluma, CA 94952-5128

Mailing address

513 Petaluma Blvd South
Petaluma, CA 94952-5128
Phone (707) 762-2240

Other identifiers 1

IdentifierTypeStateIssuer
AC0032340MedicaidCA

Other names 1

  • Patricia Tuttle Brown Professional name

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFC12131CAMDMarriage & Family Therapist
AC3234CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1023155090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 PETALUMA BLVD SOUTH",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949525128",
            "telephone_number": "707-762-2240",
            "fax_number": "707-762-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 PETALUMA BLVD SOUTH",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949525128",
            "telephone_number": "707-762-2240",
            "fax_number": "707-762-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PATRICIA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "PHD MFT LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC12131",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC3234",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AC0032340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "BROWN",
            "middle_name": "TUTTLE",
            "credential": "PHD MFT LAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.