Shanice A Brown

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

377 Valley Rd # 1154
Clifton, NJ 07013-1319

Phone

(646) 204-2295

NPI assigned

Dec 21, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Footprints Mental Health Counseling, P. C.

  • Mental Health Counselor
  • Bronx, NY
  • NPI 1033724414
  NPD (past)

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1124897863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25327 149TH DR",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222737",
            "telephone_number": "516-914-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 VALLEY RD # 1154",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131319",
            "telephone_number": "646-204-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHANICE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Sofia Brock, MA, LPC
• Eboni Brown Freeman, CRNP
• Dane Brown
• Elliot Mitchell Brown, MD
• Louis S Brown, M.D
• Tova M Brown
• Brucato Foot and Ankle Surgery
• Michael Kevin Buckley, M.D.
• Michelle Martha Budz, PHARMD
• Building Blocks Academy of New Jersey

• Counseling Psychologist in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Counseling Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.