Jeffrey Michael Brown, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP6565 Issued in MN

Practice address

1268 Pennsylvania Ave Apt 2
San Diego, CA 92103-4427

Phone

(610) 457-2887

NPI assigned

Sep 6, 2022

Last updated

Sep 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1396466512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 PENNSYLVANIA AVE APT 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034427",
            "telephone_number": "610-457-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 PENNSYLVANIA AVE APT 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034427",
            "telephone_number": "610-457-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP6565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Elaine Brown, FNPC, RNFA
• Jared Brown, P.T.,D.P.T
• Jason Parker Brown, M.D.
• Jazmine Brown, M.A.
• Jeffrey J Brown, DC
• Jeffrey W Brown, D.D.S.
• Jennifer Mary Brown
• Jessica Brown, COTA
• Joetta Kay Brown, VN
• Joshua Michel Brown

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.