Active NPI
Patrick T Brown, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Gaithersburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AC003349
- Practice address
- 9841 Washingtonian Blvd Ste 200
Gaithersburg, MD 20878-7350 - Phone
- (833) 366-3934
- NPI assigned
- Aug 28, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN1058910 | DC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AC003349 | MD | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 24183650 | VA |
Addresses
Primary practice location
9841 Washingtonian Blvd Ste 200
Gaithersburg, MD 20878-7350
Mailing address
300 Delaware Ave Ste 210
Wilmington, DE 19801-6601
Phone (833) 366-3934
Other practice location 1
1301 York Rd Ste 800
Lutherville, MD 21093-6011
Phone (833) 366-3934
Other practice location 2
4301 50th St NW Ste 300-1012
Washington, DC 20016-4364
Phone (833) 366-3934
Other practice location 3
900 Commonwealth Pl Ste 200
Virginia Beach, VA 23464-4530
Phone (833) 366-3934
Other practice location 4
201 N Union St Ste 11011030
Alexandria, VA 22314-2642
Phone (833) 366-3934
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 |
|---|---|---|---|
| RN1058910 | DC | MD | Psychiatric/Mental Health Nurse Practitioner |
| AC003349 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
| 24183650 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modyfi Health Inc | Current | Accepting new patients |
Locations
4315 50th St NW
Ste 300
Washington, DC 20016
Phone (833) 366-3934
300 Delaware Ave
Ste 210
Wilmington, DE 19801
Phone (516) 458-4366
400 W Peachtree St NW
Ste 4607
Atlanta, GA 30308
9841 Washingtonian Blvd
Ste 2001065
Gaithersburg, MD 20878
Phone (240) 415-8411
1301 York Rd
Ste 800
Timonium, MD 21093
Phone (410) 376-8728
201 N Union St
Ste 110
Alexandria, VA 22314
Phone (202) 271-3936
900 Commonwealth Pl
Ste 200
Virginia Beach, VA 23464
Phone (757) 788-3033
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Gaithersburg, MD
- NPI 1376015206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1144747312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 DELAWARE AVE STE 210",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198016601",
"telephone_number": "833-366-3934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9841 WASHINGTONIAN BLVD STE 200",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208787350",
"telephone_number": "833-366-3934"
}
],
"practiceLocations": [
{
"address_1": "1301 York Rd Ste 800",
"address_purpose": "LOCATION",
"city": "Lutherville",
"state": "MD",
"postal_code": "210936011",
"country_code": "US",
"telephone_number": "833-366-3934",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4301 50th St NW Ste 300-1012",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200164364",
"country_code": "US",
"telephone_number": "833-366-3934",
"fax_number": "470-867-2636",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 Commonwealth Pl Ste 200",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234644530",
"country_code": "US",
"telephone_number": "833-366-3934",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 N Union St Ste 11011030",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223142642",
"country_code": "US",
"telephone_number": "833-366-3934",
"fax_number": "470-867-2636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "PATRICK",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-28",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DC",
"license": "RN1058910",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "AC003349",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "24183650",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.