Jerry W Brown, PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2389 Issued in NM

Practice address

6300 Riverside Plaza LN NW
Suite 100
Albuquerque, NM 87120-2617

Phone

(505) 400-7282

NPI assigned

Feb 6, 2007

Last updated

May 11, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Alpine Clinic, LLC

  • Counseling Psychologist
  • Durango, CO
  • NPI 1821137662
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1467591289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94508",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871994508",
            "telephone_number": "505-400-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 RIVERSIDE PLAZA LN NW",
            "address_2": "SUITE 100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202617",
            "telephone_number": "505-400-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JERRY",
        "middle_name": "W",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "2389",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "2389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn C. Brown
• James R Brown, PHARM.D
• Jane Ellen Brown, NP
• Jenna Brown
• Jeremy Brown, PA-C
• Jessika Nicole Brown, RD, LD
• Joan Brown
• Karen Brown
• Karen Lyn Brown
• Kate Julianna Brown

• Professional Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.