Individual provider Active NPI

Bette Hayes Brownlow, PSY.D.

  • Clinical Psychologist
  • Greensboro, NC
National Provider Identifier
1467558106
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2698 Issued in NC
Practice address
1521 Bridford Pkwy
11C
Greensboro, NC 27407-2503
Phone
(336) 210-6602
Fax
(336) 665-6188
NPI assigned
Sep 16, 2006
Last updated
Nov 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2698 NC Primary

Addresses

Primary practice location

1521 Bridford Pkwy
11C
Greensboro, NC 27407-2503

Mailing address

1521 Bridford Pkwy
Apt 11C
Greensboro, NC 27407-2503
Phone (336) 210-6602

Other identifiers 2

IdentifierTypeStateIssuer
6000817MedicaidNC
P00365091OtherNCRR MCARE W PARADIGM

Other names 1

  • Mrs. Bette Brownlow Ferguson Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2698NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Paradigm Health Services, Inc Past Accepting new patients
Paradigm Health, LLC Clinical PastSince Jan 23, 2006 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1467558106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 BRIDFORD PKWY",
            "address_2": "APT 11C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072503",
            "telephone_number": "336-210-6602",
            "fax_number": "336-665-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 BRIDFORD PKWY",
            "address_2": "11C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072503",
            "telephone_number": "336-210-6602",
            "fax_number": "336-665-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNLOW",
        "first_name": "BETTE",
        "middle_name": "HAYES",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000817",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE W PARADIGM",
            "identifier": "P00365091",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETTE",
            "last_name": "FERGUSON",
            "middle_name": "BROWNLOW",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.