Active NPI
Janessa Brown
- Clinical Psychologist
- Philadelphia, PA
National Provider Identifier
1386084523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS020588
- Practice address
- 828 N 2ND St
Philadelphia, PA 19123-3879 - Phone
- (719) 930-7616
- NPI assigned
- Jul 2, 2013
- Reactivated
- Nov 6, 2025
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS020588 | PA | Primary |
Addresses
Primary practice location
828 N 2ND St
Philadelphia, PA 19123-3879
Mailing address
828 N 2ND St
Philadelphia, PA 19123-3879
Phone (267) 277-3012
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 |
|---|---|---|---|
| PS020588 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1386084523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 N 2ND ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191233879",
"telephone_number": "267-277-3012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 N 2ND ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191233879",
"telephone_number": "719-930-7616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JANESSA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-02",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"deactivation_date": "2021-02-15",
"reactivation_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS020588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.