Gary Brown

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Legal business name

GARY BROWN

Doing business as

Children's Treatment Center

Practice address

302 Broadway St
Martin, TN 38237-2455

Phone

(731) 587-0600

Fax

(731) 587-0600

NPI assigned

Feb 2, 2019

Last updated

Feb 2, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Kay Page

Title

Credentialing Manager

Phone

(731) 693-3465

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CHILDREN'S TREATMENT CENTER Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chasnie Thompson, M.S.CCC-SLP

  • Speech-Language Pathologist
  • Martin, TN
  • NPI 1184115149
  NPD (past)

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

{
    "created_epoch": "1549065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549065600000",
    "number": "1396200424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BROADWAY ST",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382372455",
            "telephone_number": "731-587-0600",
            "fax_number": "731-587-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BROADWAY ST",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382372455",
            "telephone_number": "731-587-0600",
            "fax_number": "731-587-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY BROWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-02",
        "last_updated": "2019-02-02",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "731-693-3465"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q032646",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHILDREN'S TREATMENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Faustino H. Garcia Jr., PHYSICAL THERAPIST
• Kimberly Gardner
• Stephanie Jeannette Gardner
• Perseveranda Garma, PT
• Karla L Garner, PHARMD
• Gastroenterology Associates P C
• Generations Health Assoc.,Inc.Dba Generations Mental Health Center
• Generations Health Association
• Generations- Gaithers, Inc. (Generations Mental Health Center)
• Jacqueline Cultra Gilliam, PT

• Intellectual & Developmental Disabilities Psychologist in Martin, TN
• Providers in Martin, TN by specialty
• Intellectual & Developmental Disabilities Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2019; 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.