Active NPI
Frances P. Cooper Brown, EDD
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1144257973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 79-15P
- Practice address
- 4715 Viewridge Ave
Ste 230
San Diego, CA 92123-1658 - Phone
- (800) 257-8715
- Fax
- (800) 819-1655
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 79-15P | AR | Primary |
Addresses
Primary practice location
4715 Viewridge Ave
Ste 230
San Diego, CA 92123-1658
Mailing address
23 Lejos LN
Hot Springs Village, AR 71909-8501
Phone (501) 922-0622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5N190 | Other | AR | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79-15P | AR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144257973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 LEJOS LN",
"city": "HOT SPRINGS VILLAGE",
"state": "AR",
"postal_code": "719098501",
"telephone_number": "501-922-0622",
"fax_number": "501-922-0622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4715 VIEWRIDGE AVE",
"address_2": "STE 230",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231658",
"telephone_number": "800-257-8715",
"fax_number": "800-819-1655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "FRANCES P.",
"middle_name": "COOPER",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AR",
"license": "79-15P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5N190",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.