Blair Meredith Brown, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008618 Issued in IL

Practice address

1200 Harger Rd
Oak Brook, IL 60523-1805

Phone

(630) 571-5750

Fax

(630) 571-5751

NPI assigned

Jul 1, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.blairbrown@146897.advancedmd-direct.com

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.

• Edgewood Clinical Services, P.C.

  • Psychologist
  • Naperville, IL
  • NPI 1295914646
  Medicare reassignment NPD
• Comprehensive Clinical Services PC

  • Psychiatry Physician
  • Lombard, IL
  • NPI 1942484522
  Medicare reassignment
• Siebert Moazzam P C

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Peoria, IL
  • NPI 1396780292
  NPD (past)

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1215377510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HARGER RD",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231805",
            "telephone_number": "630-571-5750",
            "fax_number": "630-571-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HARGER RD",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231805",
            "telephone_number": "630-571-5750",
            "fax_number": "630-571-5751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 S Eldorado Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617046009",
            "country_code": "US",
            "telephone_number": "888-428-7890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BLAIR",
        "middle_name": "MEREDITH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breath of Life Professional Services, NFP, Inc.
• Amy Brink
• Jennifer Broers, LCSW
• Brook Clinic Associates, P.C.
• Harley C Brooks III, M.D.
• Latasha Brown
• Shane Bruni
• Joseph C Brutzkus, MD
• Paulina N. Brzozowski-Sawicki, D.D.S.
• Stephanie Bubis Martin

• Clinical Psychologist in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.