Nicholas Patrick Brown, DO
Individual provider Active NPI Psychiatry Physician · Mount Shasta, CA
NPI 1275939092 · NPPES record last updated Apr 3, 2023
Key facts
- NPI
- 1275939092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 20A18162 (CA)
- Practice address
- 214 E Lake St
Mount Shasta, CA 96067-2331 - Phone
- (530) 435-5048
- NPI assigned
- Nov 5, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Col of Osteo Med of the Pacific at Lebanon, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Nicholas Patrick Brown DO
Practice addresses (Care Compare)
214 E Lake St
Mount Shasta, CA 96067-2331
Phone (530) 435-5048
Hospital & facility affiliations
- Mercy Medical Center of Mt Shasta
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201103002858 | CA | Practitioner - Psychiatry | 7012204522 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18162 | CA | MD | Chiropractor |
| 20A18162 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicholas Patrick Brown, DO | Current |
Accepting new patients |
Locations
419 Chestnut St
Apt 3
Mount Shasta, CA 96067
Phone (530) 435-5048
214 E Lake St
Mount Shasta, CA 96067
Phone (530) 435-5048
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 125068485 | IL | |
| Psychiatry Physician | 2084P0800X | 20A18162 | CA | Yes |
Addresses
Primary practice location
214 E Lake St
Mount Shasta, CA 96067-2331
Mailing address
214 E Lake St
Mount Shasta, CA 96067-2331
Phone (530) 435-5048
Other providers in Mount Shasta, CA
- Norman Bowers
- Donna Bringenberg
- Carolyn Briody
- Eriksson Brioso
- Duane Thomas Brooks
- Robert C Brucker
- Christopher James Brunell
- Sophia Mishelle Bullington
- Jennifer Michelle Burleigh
- Dancing Ember Butler
All providers in Mount Shasta, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.