Individual provider Active NPI

Dorothy B Brown, PHD

  • Psychologist
  • Tiverton, RI
National Provider Identifier
1275694986
Registry record updated Jul 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
RI377 Issued in RI
Practice address
2128 Main Rd
Tiverton, RI 02878
Phone
(401) 624-9972
Fax
(401) 624-1452
NPI assigned
Dec 13, 2006
Last updated
Jul 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X RI377 RI Primary
Psychologist 103T00000X 4612 MA

Addresses

Primary practice location

2128 Main Rd
Tiverton, RI 02878

Mailing address

2128 Main Rd
Tiverton, RI 02878
Phone (401) 624-9972

Other identifiers 2

IdentifierTypeStateIssuer
BRWO4553OtherMABLUE CROSS
RIBC93374OtherRIBLUE CROSS

Other names 1

  • Dorothy B Clement Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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

Enrollment IDStateProvider typePAC IDDetails
I20101118000307 RI Practitioner - Clinical Psychologist 3971799818 Practice locations: Tiverton, RI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2128 Main Rd
Tiverton, RI 02878-4609
Phone (401) 624-9972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
RI377RIMDPsychologist
4612MAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Davidge Chace Psychologist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279929600000",
    "number": "1275694986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 MAIN RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "02878",
            "telephone_number": "401-624-9972",
            "fax_number": "401-624-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 MAIN RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "02878",
            "telephone_number": "401-624-9972",
            "fax_number": "401-624-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DOROTHY",
        "middle_name": "B",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "RI",
            "license": "RI377",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "4612",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "BRWO4553",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "RIBC93374",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "CLEMENT",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tiverton, RI

Sources for this page

Verify at the official NPI Registry.