Active NPI
Tracy Brown, PSY.S., NCSP
- School Psychologist
- New York Mills, MN
National Provider Identifier
1366200974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 445195
- Practice address
- 43274 County Highway 53
New York Mills, MN 56567-9364 - Phone
- (907) 252-2139
- NPI assigned
- Mar 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 445195 | MN | Primary |
Addresses
Primary practice location
43274 County Highway 53
New York Mills, MN 56567-9364
Mailing address
43274 County Highway 53
New York Mills, MN 56567-9364
Phone (907) 252-2139
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 445195 | MN | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1366200974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43274 COUNTY HIGHWAY 53",
"city": "NEW YORK MILLS",
"state": "MN",
"postal_code": "565679364",
"telephone_number": "907-252-2139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43274 COUNTY HIGHWAY 53",
"city": "NEW YORK MILLS",
"state": "MN",
"postal_code": "565679364",
"telephone_number": "907-252-2139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "TRACY",
"credential": "PSY.S., NCSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-08",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MN",
"license": "445195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York Mills, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.