Individual provider Active NPI

Ronald R Brown, PH D

  • Psychologist
  • Knoxville, TN
National Provider Identifier
1366553869
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P0699 Issued in TN
Practice address
224 S Peters Rd
Suite110
Knoxville, TN 37923-5207
Phone
(865) 238-5901
Fax
(865) 238-5909
NPI assigned
Aug 31, 2006
Last updated
Nov 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X P0699 TN Primary

Addresses

Primary practice location

224 S Peters Rd
Suite110
Knoxville, TN 37923-5207

Mailing address

224 S Peters Rd
Suite 110
Knoxville, TN 37923-5207
Phone (865) 238-5901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040113000294 TN Practitioner - Clinical Psychologist 1951201151 Practice locations: Knoxville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2606 Greenway Dr
Suite 205
Knoxville, TN 37918-1906
Phone (865) 238-5901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P0699TNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Paradigm Health Services, Inc Past Accepting new patients
Knoxville Psychiatric Group Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1366553869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S PETERS RD",
            "address_2": "SUITE 110",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235207",
            "telephone_number": "865-238-5901",
            "fax_number": "865-238-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S PETERS RD",
            "address_2": "SUITE110",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235207",
            "telephone_number": "865-238-5901",
            "fax_number": "865-238-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RONALD",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "P0699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.