Individual provider Active NPI

Megan Glenn Brown, PHD

  • Psychologist
  • Utica, NY
National Provider Identifier
1467095018
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
023457 Issued in NY
Practice address
122 Business Park Dr Ste 1
Utica, NY 13502-6321
Phone
(315) 732-3431
Fax
(866) 822-2343
NPI assigned
Oct 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 023457 NY Primary

Addresses

Primary practice location

122 Business Park Dr Ste 1
Utica, NY 13502-6321

Mailing address

122 Business Park Dr Ste 1
Utica, NY 13502-6321
Phone (315) 732-3431

Other practice location 1

1032 East Fayette Street
Syracuse, NY 13210
Phone (315) 732-3431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1467095018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BUSINESS PARK DR STE 1",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026321",
            "telephone_number": "315-732-3431",
            "fax_number": "866-822-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BUSINESS PARK DR STE 1",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026321",
            "telephone_number": "315-732-3431",
            "fax_number": "866-822-2343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1032 East Fayette Street",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "13210",
            "country_code": "US",
            "telephone_number": "315-732-3431",
            "fax_number": "866-822-2343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MEGAN",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "023457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.