L Emily Brown Cabezudo, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3576 Issued in AZ

Practice address

626 N. Ridge Street, Ste C
Danville, VA 24541-5652

Phone

(434) 334-7143

Fax

(480) 557-5712

NPI assigned

Aug 17, 2005

Reactivated

Mar 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1396737243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MILL RD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275348947",
            "telephone_number": "336-707-5871",
            "fax_number": "919-988-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 N. RIDGE STREET, STE C",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245415652",
            "telephone_number": "434-334-7143",
            "fax_number": "480-557-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN CABEZUDO",
        "first_name": "L EMILY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2017-02-23",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "3648958",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ 0618080",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "700885000",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Beasley Brooks, PHARM D
• Brosville Volunteer Fire Department, Inc.
• Timothy Wayne Brotherton, M,D,
• Judy C Broughton, MN, FNP
• Robert E Broughton, M.D.
• Barbara Jo Brown
• Derek Christopher Brown, D.D.S.
• James Allen Brown, MD
• Kesshia M. Brown, LPC
• Leigh Ann Brown

• Clinical Psychologist in Danville, VA
• Providers in Danville, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.