Mackenzie Brown, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0005213 Issued in CO

Practice address

792 S Bermont Ave
Lafayette, CO 80026-1519

Phone

(732) 567-6544

NPI assigned

Nov 29, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Whole Human Counseling and Performance, LLC

  • Clinical Psychologist
  • Lafayette, CO
  • NPI 1841875390
  NPD Authorized official

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1073027066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 S BERMONT AVE",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261519",
            "telephone_number": "732-567-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 S BERMONT AVE",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261519",
            "telephone_number": "732-567-6544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 Newbury St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021162912",
            "country_code": "US",
            "telephone_number": "732-567-6544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "229 Main St",
            "address_purpose": "LOCATION",
            "city": "Keene",
            "state": "NH",
            "postal_code": "034350001",
            "country_code": "US",
            "telephone_number": "732-567-6544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MACKENZIE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-29",
        "last_updated": "2022-12-02",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "CO",
            "license": "0005213",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "0005213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Brown, PA-C
• Javaneh Brown
• Kayla Brown, RBT
• Lauren Brown, RBT
• Lisa-Marie Camille Brown, M.D.
• Stephen E Brown, MD
• Jacob Browner, PA
• Jaclyn Ann Brownstone
• Lynda Bruce, RN
• Carrie A Brue

• Psychologist in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.