Mark C Brown, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2304 Issued in OH

Practice address

1188 Bell Rd Ste 202
Chagrin Falls, OH 44022-6101

Phone

(440) 338-3214

NPI assigned

Feb 23, 2007

Sex

Male

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark C. Brown, PHD,LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chagrin Falls, OH
  • NPI 1023406782
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1215062625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 BELL RD STE 202",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440226101",
            "telephone_number": "440-338-3214",
            "fax_number": "440-338-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 BELL RD STE 202",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440226101",
            "telephone_number": "440-338-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARK",
        "middle_name": "C",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "2304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0322609",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Bresciani, DDS
• Brian M. Hivick, DDS, LLC (Chagrin Family Dental Care)
• Olivia L Brooker
• Titi Brooks, RN
• Alicia Brown, LPN
• Barbara Anne Bryndal, LPCC LICDC
• Erica Bumgarner
• Kathy Bundy
• Kristina Allysa Bundy
• Robert C Burg, CT

• Clinical Psychologist in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.