Active NPI
Christopher Scott Brown, PSY.D., ABPP
- Clinical Psychologist
- Fairbanks, AK
National Provider Identifier
1144549924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSYP663
- Practice address
- 250 Cushman St Ste 3E
Fairbanks, AK 99701-4665 - Phone
- (907) 799-7695
- Fax
- (907) 328-0907
- NPI assigned
- May 19, 2010
- Last updated
- Apr 24, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSYP663 | AK | Primary |
| Clinical Psychologist | 103TC0700X | PY60255369 | WA |
Addresses
Primary practice location
250 Cushman St Ste 3E
Fairbanks, AK 99701-4665
Mailing address
250 Cushman St Ste 3E
Fairbanks, AK 99701-4665
Phone (907) 799-7695
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1626763 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2017 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSYP663 | AK | MD | Clinical Psychologist |
| PY60255369 | WA | MD | Clinical Psychologist |
| 663 | AK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arctic Pathways, LLC | Clinical | Current | Accepting new patients |
Locations
250 Cushman St
Ste 3E
Fairbanks, AK 99701
Phone (907) 479-0411
3180 Peger Rd
Ste 248
Fairbanks, AK 99709
Phone (907) 799-7695
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1144549924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 CUSHMAN ST STE 3E",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014665",
"telephone_number": "907-799-7695",
"fax_number": "907-328-0907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 CUSHMAN ST STE 3E",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014665",
"telephone_number": "907-799-7695",
"fax_number": "907-328-0907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "CHRISTOPHER",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "PSY.D., ABPP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-19",
"last_updated": "2024-04-24",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AK",
"license": "PSYP663",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60255369",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1626763",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.