Active NPI
Timaree Catherine Brown, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Lowell, MA
National Provider Identifier
1326005836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN148123
- Practice address
- 391 Varnum Ave
Lowell, MA 01854-2119 - Phone
- (978) 703-2212
- Fax
- (978) 703-2490
- NPI assigned
- Apr 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6439 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F401997 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN148123 | MA | Primary |
Addresses
Primary practice location
391 Varnum Ave
Lowell, MA 01854-2119
Mailing address
391 Varnum Ave
Lowell Treatment Center
Lowell, MA 01854-2119
Phone (978) 703-2212
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2015003386 | Other | MA | MA NP CERTIFICATION NUMBER |
| 1898906 | Other | MA | MEDICAID |
| 1245594894 | Other | MA | NPI |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F401997 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan Rothman, M.D. | Past | Accepting new patients | |
| Greater Lowell Psychiatric Associates, LLC | Past | Accepting new patients | |
| Jonathan Rothman MD | Psychologist | Past | Accepting new patients |
| Staffier Associates Inc | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Psychiatric/Mental Health Registered Nurse
- North Chelmsford, MA
- NPI 1760463004
-
- Clinical Social Worker
- Worcester, MA
- NPI 1194147033
-
- Community/Behavioral Health Agency
- Westborough, MA
- NPI 1902968217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1326005836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 VARNUM AVE",
"address_2": "LOWELL TREATMENT CENTER",
"city": "LOWELL",
"state": "MA",
"postal_code": "018542119",
"telephone_number": "978-703-2212",
"fax_number": "978-703-2490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 VARNUM AVE",
"city": "LOWELL",
"state": "MA",
"postal_code": "018542119",
"telephone_number": "978-703-2212",
"fax_number": "978-703-2490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "TIMAREE",
"middle_name": "CATHERINE",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "6439",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F401997",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN148123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA NP CERTIFICATION NUMBER",
"identifier": "2015003386",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "1898906",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1245594894",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.