Organization Active NPI

Dr. Caryn Brown Inc

  • Clinical Psychologist
  • Merrillville, IN
National Provider Identifier
1336448893
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20041341A Issued in IN
Legal business name
DR. CARYN BROWN INC
Practice address
119 W 86TH Ave
Merrillville, IN 46410-7063
Phone
(219) 756-8944
Fax
(219) 756-8945
NPI assigned
Mar 23, 2011
Last updated
Mar 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Authorized official

Name
Dr. Caryn Brown, PSYDNPI 1134208481
Title
Pretsiden
Phone
(219) 756-8944

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 Psychologist 103TC0700X 20041341A IN Primary

Addresses

Primary practice location

119 W 86TH Ave
Merrillville, IN 46410-7063

Mailing address

119 W 86TH Ave
Merrillville, IN 46410-7063
Phone (219) 756-8944

Other identifiers 1

IdentifierTypeStateIssuer
200227210BMedicaidIN

National Provider Directory

National Provider Directory

Locations

119 W 86th Ave
Merrillville, IN 46410
Phone (219) 756-8944

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1336448893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W 86TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107063",
            "telephone_number": "219-756-8944",
            "fax_number": "219-756-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 86TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107063",
            "telephone_number": "219-756-8944",
            "fax_number": "219-756-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CARYN BROWN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CARYN",
        "authorized_official_title_or_position": "PRETSIDEN",
        "authorized_official_telephone_number": "219-756-8944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041341A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200227210B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.