Organization Active NPI

Monique Brown Psychological Services LLC

  • Clinical Psychologist
  • Seattle, WA
National Provider Identifier
1386043578
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60444036 Issued in WA
Legal business name
MONIQUE BROWN PSYCHOLOGICAL SERVICES LLC
Practice address
3429 Fremont PL N Ste 303
Seattle, WA 98103-8650
Phone
(206) 457-3092
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Dr. Monique Brown, PSYDNPI 1023363785
Title
Owner
Phone
(206) 457-3092

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 PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY60444036 WA Primary

Addresses

Primary practice location

3429 Fremont PL N Ste 303
Seattle, WA 98103-8650

Mailing address

3429 Fremont PL N Ste 303
Seattle, WA 98103-8650
Phone (206) 457-3092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141218001880 WA Part B Supplier - Clinic/Group Practice 7517280795 Receives reassigned benefits from 2 practitioners
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

3429 Fremont Pl N
Ste 303
Seattle, WA 98103
Phone (206) 457-3092

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1386043578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 FREMONT PL N STE 303",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038650",
            "telephone_number": "206-457-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 FREMONT PL N STE 303",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038650",
            "telephone_number": "206-457-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONIQUE BROWN PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-457-3092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60444036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.