Individual provider Active NPI

Sandra Jean Brown, PH.D.

  • Clinical Neuropsychologist
  • San Diego, CA
National Provider Identifier
1235197633
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY14942 Issued in CA
Practice address
Ucsd Medical Center
200 West Arbor Drive MC 8201
San Diego, CA 92103-8201
Phone
(619) 497-6659
Fax
(619) 543-3183
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY14942 CA Primary

Addresses

Primary practice location

Ucsd Medical Center
200 West Arbor Drive MC 8201
San Diego, CA 92103-8201

Mailing address

PO Box 232410
San Diego, CA 92193-2410
Phone (619) 543-6164

Other identifiers 1

IdentifierTypeStateIssuer
PSY149420MedicaidCA

Other names 1

  • Ms. Sandra Jean Csanyi Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY14942CAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1235197633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410",
            "telephone_number": "619-543-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCSD MEDICAL CENTER",
            "address_2": "200 WEST ARBOR DRIVE MC 8201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921038201",
            "telephone_number": "619-497-6659",
            "fax_number": "619-543-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY14942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY149420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "CSANYI",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "credential": "N/A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.