Active NPI
Lewis Michael Brown, PH.D.
- Psychologist
- Brooklyn, NY
National Provider Identifier
1114918885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 09119-1
- Practice address
- 68 Saint Marks PL
Brooklyn, NY 11217-1945 - Phone
- (718) 834-1646
- Fax
- (718) 834-1323
- NPI assigned
- Nov 2, 2005
- Last updated
- Jun 4, 2008
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 09119-1 | NY | Primary |
| Psychologist | 103T00000X | 1076 | NC |
Addresses
Primary practice location
68 Saint Marks PL
Brooklyn, NY 11217-1945
Mailing address
PO Box 170297
Brooklyn, NY 11217-0297
Phone (718) 834-1646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01444128 | Medicaid | NY |
Other names 1
- Dr. Lew Brown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050819000297 | NY | Practitioner - Clinical Psychologist | 7012947930 | |
| I20110817000559 | NC | Practitioner - Clinical Psychologist | 7012947930 | Practice locations: Charlotte, NC |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09119-1 | NY | MD | Psychologist |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Brooklyn, NY
- NPI 1730432394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212537600000",
"number": "1114918885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 170297",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112170297",
"telephone_number": "718-834-1646",
"fax_number": "718-834-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 SAINT MARKS PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112171945",
"telephone_number": "718-834-1646",
"fax_number": "718-834-1323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "LEWIS",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2008-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "09119-1",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "1076",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01444128",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEW",
"last_name": "BROWN",
"prefix": "DR.",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.