Susan A Brown, PHD, APNP

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

796-033 Issued in WI

Practice address

402 Gammon PL Ste 290
Madison, WI 53719-1075

Phone

(608) 833-9770

Fax

(608) 833-1197

NPI assigned

Feb 18, 2007

Last updated

Oct 15, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mental Health Resources

  • Mental Health Counselor
  • Madison, WI
  • NPI 1053586453
  Authorized official Same address or phone

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318636800000",
    "number": "1407990815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 GAMMON PLACE",
            "address_2": "STE 290",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191075",
            "telephone_number": "608-833-9770",
            "fax_number": "608-833-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 GAMMON PL STE 290",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191075",
            "telephone_number": "608-833-9770",
            "fax_number": "608-833-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SUSAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD, APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-18",
        "last_updated": "2011-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "WI",
            "license": "796-033",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "613-125",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3678-123",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "WI",
            "license": "52325-030",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39400900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn Lynn Brown, PA-C
• Sara Brown, NP
• Shavone Brown
• Sherry K. Brown, MSW
• Stephanie Brown, RN
• Susan D. Brown, LPN
• Susan E Brown, PSYD
• Timothy W. Brown, DO
• Tricia Brown, OTR/L
• Vanessa Jean Brown, RN

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Madison, WI
• Providers in Madison, WI by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; 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.