Diane Hazelton Brown, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY16470 Issued in CA

Practice address

35 Salinas Ave
San Anselmo, CA 94960-1642

Phone

(415) 482-8000

Fax

(415) 454-8612

NPI assigned

Jun 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033313283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SALINAS AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601642",
            "telephone_number": "415-482-8000",
            "fax_number": "415-454-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SALINAS AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601642",
            "telephone_number": "415-482-8000",
            "fax_number": "415-454-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DIANE",
        "middle_name": "HAZELTON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PSY16470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boyer B. Cole, N.D., Naturopathic Medical Doctor
• Kate E Brennan, MFT
• David Brody, MD
• Michael Broffman, LAC
• Jennifer Bass Brooks, D.M.D.
• Kathryn Burke, L.AC.
• Carla Burman, MFT
• Stephanie Burns Burns
• Hollis Ann Byers, LMFT
• Adam Harris Cantor, D.C

• Clinical Psychologist in San Anselmo, CA
• Providers in San Anselmo, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.