NPIMap

Organization Active NPI

Sharon D Brown, Psy.D., LLC

  • Clinical Psychologist
  • Dayton, OH
National Provider Identifier
1316027873
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SHARON D BROWN, PSY.D., LLC
Practice address
1250 W Dorothy LN
Suite 104
Dayton, OH 45409-1317
Phone
(937) 294-6612
Fax
(937) 236-0661
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Dr. Sharon D Brown, PSY.D.NPI 1598769051
Title
Owner
Phone
(937) 236-1331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1250 W Dorothy LN
Suite 104
Dayton, OH 45409-1317

Mailing address

1250 W Dorothy LN
Suite 104
Dayton, OH 45409-1317
Phone (937) 294-6612

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050722000247 OH Part B Supplier - Clinic/Group Practice 3173550084 Receives reassigned benefits from 1 practitioner
Practice locations: Dayton, OH

National Provider Directory

National Provider Directory

Locations

1250 W Dorothy Ln
Ste 104
Dayton, OH 45409
Phone (937) 294-6612

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1316027873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 W DOROTHY LN",
            "address_2": "SUITE 104",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091317",
            "telephone_number": "937-294-6612",
            "fax_number": "937-236-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W DOROTHY LN",
            "address_2": "SUITE 104",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091317",
            "telephone_number": "937-294-6612",
            "fax_number": "937-236-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON D BROWN, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-236-1331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.