Kristopher Brown, PSY.D., BCBA-D, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

P.08535 Issued in OH

Practice address

5500 Market St Ste 119
Boardman, OH 44512-2616

Phone

(330) 991-9117

NPI assigned

Jan 21, 2015

Sex

Male

Sole proprietor

Yes

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

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Progressive ABA Therapy Group, LLC

  • Behavior Analyst
  • Youngstown, OH
  • NPI 1669948741
  NPD
• Cadence Care Network

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Niles, OH
  • NPI 1053928416
  NPD (past)
• Cadence Care Network

  dba Homes For Kids of Ohio, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Niles, OH
  • NPI 1558339762
  NPD (past)

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1134518624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5286 S SARATOGA AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445154076",
            "telephone_number": "330-257-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MARKET ST STE 119",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445122616",
            "telephone_number": "330-991-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "PSY.D., BCBA-D, LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-21",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "P.08535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony F. Brine, PSY-D
• Benjamin Robert Brocker
• Kelsey Brocker, PSYD
• Elliott Brodzinski, LMT
• Emily Brothers Cope, LMT
• Mary Katherine Brown, MS
• Andrea Browne, DMD
• Susan Brownlee
• John Joseph Buckley Jr., M.D.
• Elijah Lamont Burch

• Psychologist in Boardman, OH
• Providers in Boardman, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.