Jeanne Ann Brown, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20040482A Issued in IN

Practice address

2758 Sunswept CT
Valparaiso, IN 46383-7603

Phone

(219) 462-5100

NPI assigned

Aug 9, 2017

Last updated

Aug 9, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pillars of WellnessGroup PAC ID 9335581552, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pillars of Wellness

  • Psychologist
  • Schererville, IN
  • NPI 1588105225
  Medicare reassignment Care Compare group NPD
• Gerald Lewis Inc.

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Valparaiso, IN
  • NPI 1053650887
  NPD (past)

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1306361415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2758 SUNSWEPT CT",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837603",
            "telephone_number": "219-462-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2758 SUNSWEPT CT",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837603",
            "telephone_number": "219-462-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JEANNE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040482A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookdale Senior Living Communities, Inc. (Brookdale Valparaiso)
• Brooke J Brooks, OTR/L
• Kameron Browder, DPT
• Destiny Cherlyn Brown
• James Brown, DNP
• Monique Brown, PTA
• Tessa Brumfield
• Austin R Brummel, PTA
• Robert L Brunk II, DO
• Christine J Bruno, MD

• Clinical Psychologist in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.