Individual provider Active NPI

Patrick T Brown, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1144747312
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AC003349 Issued in MD
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

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN1058910DCMDPsychiatric/Mental Health Nurse Practitioner
AC003349MDMDPsychiatric/Mental Health Nurse Practitioner
24183650VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Modyfi Health Inc CurrentSince Nov 17, 2019 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.

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.

Verify at the official NPI Registry.