NPIMap

Organization Active NPI

Roberta Brown

  • Mental Illness Intermediate Care Facility
  • Webster, NY
National Provider Identifier
1144602871
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
License
570716-1 Issued in NY
Legal business name
ROBERTA BROWN
Practice address
600 Lake Rd
Webster, NY 14580-1520
Phone
(585) 260-7532
NPI assigned
Jun 18, 2015
Last updated
Jun 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Ms. Roberta Lisa Brown, RN
Title
Registered Nurse
Phone
(585) 260-7532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X 570716-1 NY Primary

Addresses

Primary practice location

600 Lake Rd
Webster, NY 14580-1520

Mailing address

600 Lake Rd
Webster, NY 14580-1520
Phone (585) 260-7532

National Provider Directory

National Provider Directory
Tax ID family
State of Hawaii Department of Health103 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1144602871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LAKE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145801520",
            "telephone_number": "585-260-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LAKE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145801520",
            "telephone_number": "585-260-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTA BROWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "585-260-7532",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "NY",
            "license": "570716-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.