Supavan K Brown, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

2011038966 Issued in MO

Practice address

300 SE 2ND St
Suite 100
Lees Summit, MO 64063-2759

Phone

(816) 404-6189

Fax

(816) 525-2251

NPI assigned

Feb 20, 2012

Last updated

Feb 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Truman Medical Center IncorporatedGroup PAC ID 7315841418, 237 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Health Lakewood Medical Center Hospital, Kansas City, MO, CCN 260102

Merit-based Incentive Payment System (MIPS)

Final score

90.39 of 100Reported as group

Quality

67.9

Promoting interoperability

100

Improvement activities

40

Cost

78.87

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Truman Medical Center, Incorporated

  dba University Health

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1144207937
  Medicare reassignment Care Compare group NPD
• Truman Medical Center Incorporated

  dba University Health Behavioral Health

  • Community/Behavioral Health Agency
  • Kansas City, MO
  • NPI 1497890495
  NPD
• Truman Medical Center, Incorporated

  dba University Health Behavioral Health CCBHO Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kansas City, MO
  • NPI 1225773401
  NPD
• University Health Physicians

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1669456257
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Truman Medical Center, Incorporated

  dba University Health Lakewood Medical Center

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1376686600
  Care Compare affiliation

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1124391388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SE 2ND ST",
            "address_2": "SUITE 100",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632759",
            "telephone_number": "816-404-6189",
            "fax_number": "816-525-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SE 2ND ST",
            "address_2": "SUITE 100",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632759",
            "telephone_number": "816-404-6189",
            "fax_number": "816-525-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SUPAVAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MO",
            "license": "2011038966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rae Brown, DPT
• Lorann M Brown, AUD
• Megan Leigh Brown, PTA
• Richard Brown, MD
• Sara Brown, LPC
• Wynter M Brown, O.D
• Aime Broyles, D.D.S.
• Broz Counseling Services, LLC
• Kristina Kay Broz, MS, PLPC
• Beth Bruce, RPT

• Counseling Psychologist in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Counseling Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.