Regina Brown

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6361000599 Issued in MI

Practice address

30700 Telegraph Rd Ste 3450
Bingham Farms, MI 48025-4527

Phone

(248) 987-4721

Fax

(248) 715-6804

NPI assigned

Mar 26, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Psych Solutions PLLC

  • Psychologist
  • Bingham Farms, MI
  • NPI 1144758392
  NPD Authorized official

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1235301656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30700 TELEGRAPH RD STE 3450",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254527",
            "telephone_number": "248-987-4721",
            "fax_number": "248-715-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30700 TELEGRAPH RD STE 3450",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254527",
            "telephone_number": "248-987-4721",
            "fax_number": "248-715-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "REGINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361000599",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6361000599",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361000599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16658",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larissa B Brown
• Latonnia O Brown
• London Brown
• Otto William Brown, MD
• Rayonna Shanice Brown
• Shayna Lauren Brown
• Sherrica Tyann Brown
• Sherry Eileen Brown, LMSW
• Taylor Brown
• Ellie Morgan Brozowski

• Psychologist in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.