Patricia Martin-Brown, M.S.,NCSP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

10363 Issued in IN

Practice address

260 Beechwood LN
Zionsville, IN 46077-1213

Phone

(317) 873-6952

Fax

(317) 873-6952

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Kids Source, Inc.

  • Early Intervention Provider Agency
  • Zionsville, IN
  • NPI 1235214735
  NPD (past) Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184709677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 BEECHWOOD LN",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771213",
            "telephone_number": "317-873-6952",
            "fax_number": "317-873-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 BEECHWOOD LN",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771213",
            "telephone_number": "317-873-6952",
            "fax_number": "317-873-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-BROWN",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "M.S.,NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "10363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCHOOL PSYCH INDEP. PRAC.",
            "identifier": "10363",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Maloy
• Susan Lynn Mand, NP-C, R.N.
• Jonathan Mangold, PHD
• Matthew John Mangus, B.S.
• Ali Reza Mansoori, C.S.T./C.S.F.A.
• Niki J Martine, DDS
• Darcy Lanel Massey
• Casey Mast, PHARMD, RPH
• Sheena Mattingly, SLP
• Suzanne Maxson Maxson Shircliff, M.S.

• Psychologist in Zionsville, IN
• Providers in Zionsville, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.