Organization Active NPI

Michael P. Browne, PH.D., P.a.

  • Clinical Psychologist
  • Minneapolis, MN
National Provider Identifier
1427108109
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP1740 Issued in MN
Legal business name
MICHAEL P. BROWNE, PH.D., P.A.
Practice address
527 Marquette Ave
Suite 1620
Minneapolis, MN 55402-1302
Phone
(612) 339-6612
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael P Browne, PH.D.NPI 1487704169
Title
President
Phone
(612) 339-6612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X LP1740 MN Primary

Addresses

Primary practice location

527 Marquette Ave
Suite 1620
Minneapolis, MN 55402-1302

Mailing address

527 Marquette Ave
Suite 1620
Minneapolis, MN 55402-1302
Phone (612) 339-6612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040727001230 MN Part B Supplier - Clinic/Group Practice 1850361957 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory

Locations

527 Marquette Ave
Ste 1620
Minneapolis, MN 55402
Phone (612) 317-0665

825 Nicollet Mall
Ste 1003
Minneapolis, MN 55402
Phone (612) 339-6612

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427108109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 MARQUETTE AVE",
            "address_2": "SUITE 1620",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554021302",
            "telephone_number": "612-339-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 MARQUETTE AVE",
            "address_2": "SUITE 1620",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554021302",
            "telephone_number": "612-339-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P. BROWNE, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWNE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-339-6612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP1740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.