Active NPI
C. Brown, PSY.D.
- Psychologist
- Grass Valley, CA
National Provider Identifier
1154711653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY16887
- Practice address
- 254 Colfax Ave
B
Grass Valley, CA 95945-6881 - Phone
- (530) 274-9509
- Fax
- (530) 274-2062
- NPI assigned
- Feb 4, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY16887 | CA | Primary |
Addresses
Primary practice location
254 Colfax Ave
B
Grass Valley, CA 95945-6881
Mailing address
254 Colfax Ave
B
Grass Valley, CA 95945-6881
Phone (530) 274-9509
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY16887 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423008000000",
"number": "1154711653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 COLFAX AVE",
"address_2": "B",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959456881",
"telephone_number": "530-274-9509",
"fax_number": "530-274-2062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 COLFAX AVE",
"address_2": "B",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959456881",
"telephone_number": "530-274-9509",
"fax_number": "530-274-2062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "C.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-04",
"last_updated": "2015-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY16887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.