Amber Brown PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

AMBER BROWN PLLC

Doing business as

Source Within Wellness

Practice address

1509 Clermont Rd # 26
Durham, NC 27713-2455

Phone

(919) 593-5060

NPI assigned

Aug 10, 2024

Last updated

Aug 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amber Nicole Brown, LPANPI 1215706007

Title

Owner

Phone

(919) 593-5060

Specialties & licenses 1

Addresses

Other names 1

• Source Within Wellness Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amber Nicole Brown, LPA

  • Psychologist
  • Durham, NC
  • NPI 1215706007
  NPD Authorized official

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

{
    "created_epoch": "1723248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723248000000",
    "number": "1093546103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 CLERMONT RD # 26",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132455",
            "telephone_number": "919-593-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 CLERMONT RD # 26",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132455",
            "telephone_number": "919-593-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBER BROWN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-10",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-593-5060",
        "authorized_official_credential": "LPA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Source Within Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychologist in Durham, NC
• Providers in Durham, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2024; 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.