Active NPI
Alec Judd Brown, ED.S., M.S., PH.D.
- School Psychologist
- Sandy, UT
National Provider Identifier
1477784650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 8483321-2501
- Practice address
- 9361 S 300 E
Sandy, UT 84070-2902 - Phone
- (801) 826-5000
- NPI assigned
- Aug 5, 2009
- Last updated
- May 27, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 4014728 | AZ | |
| School Psychologist | 103TS0200X | 8483321-2501 | UT | Primary |
Addresses
Primary practice location
9361 S 300 E
Sandy, UT 84070-2902
Mailing address
301 N 1650 E
Lehi, UT 84043-4782
Phone (801) 473-7409
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
- Master of Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4014728 | AZ | MD | School Psychologist |
| 8483321-2501 | UT | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chandler Unified School District | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Chandler, AZ
- NPI 1053457465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1477784650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N 1650 E",
"city": "LEHI",
"state": "UT",
"postal_code": "840434782",
"telephone_number": "801-473-7409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9361 S 300 E",
"city": "SANDY",
"state": "UT",
"postal_code": "840702902",
"telephone_number": "801-826-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ALEC",
"middle_name": "JUDD",
"credential": "ED.S., M.S., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-05",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": "4014728",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "UT",
"license": "8483321-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.