Organization Active NPI

Marsha D Brown PHD P a

Doing business as Dr. Marsha D. Brown Ph.D.

  • Psychologist
  • Fort Lauderdale, FL
National Provider Identifier
1366119406
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MARSHA D BROWN PHD P A
Doing business as
Dr. Marsha D. Brown Ph.D.
Practice address
757 SE 17TH St # 622
Fort Lauderdale, FL 33316-2960
Phone
(917) 979-3743
Fax
(954) 743-0265
NPI assigned
Aug 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Marsha D Brown, PH.D.
Title
Owner
Phone
(917) 979-3743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

757 SE 17TH St # 622
Fort Lauderdale, FL 33316-2960

Mailing address

757 SE 17TH St # 622
Fort Lauderdale, FL 33316-2960
Phone (917) 979-3743

Other names 1

  • Dr. Marsha D. Brown Ph.D. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1366119406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 SE 17TH ST # 622",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162960",
            "telephone_number": "917-979-3743",
            "fax_number": "954-743-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 SE 17TH ST # 622",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162960",
            "telephone_number": "917-979-3743",
            "fax_number": "954-743-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHA D BROWN PHD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-979-3743",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Marsha D. Brown Ph.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.