Active NPI
Judy Stoker Brown, PHD
- Clinical Psychologist
- Occoquan, VA
National Provider Identifier
1285641456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810001056
- Practice address
- 214 Commerce Street
B
Occoquan, VA 22125-0063 - Phone
- (703) 494-6830
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810001056 | VA | Primary |
Addresses
Primary practice location
214 Commerce Street
B
Occoquan, VA 22125-0063
Mailing address
6206 Blossom LN
Manassas, VA 20112-3030
Phone (703) 368-1553
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810001056 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285641456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6206 BLOSSOM LN",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201123030",
"telephone_number": "703-368-1553",
"fax_number": "703-368-1553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 COMMERCE STREET",
"address_2": "B",
"city": "OCCOQUAN",
"state": "VA",
"postal_code": "221250063",
"telephone_number": "703-494-6830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JUDY",
"middle_name": "STOKER",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810001056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Occoquan, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.