Michelle Lynn Brown, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

020378 Issued in NY

Practice address

1225 Franklin Ave
Suite 325
Garden City, NY 11530-1691

Phone

(516) 873-8880

Fax

(516) 873-8881

NPI assigned

May 14, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1487065314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 FLORAL PKWY",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110013439",
            "telephone_number": "914-438-4989",
            "fax_number": "516-873-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 FRANKLIN AVE",
            "address_2": "SUITE 325",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301691",
            "telephone_number": "516-873-8880",
            "fax_number": "516-873-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianka Brown
• Gladys Brown, LCSW
• Kenya Brown
• Kimberly Brown
• Megan Ellen Brown, MSED
• Hannah Rose Broyles, LMSW
• Marcia Brucculeri
• Rebecca Brum
• Nicole Brunnhoelzl, MS, ATC/L
• Anthony M Bruno, MD

• Clinical Psychologist in Garden City, NY
• Providers in Garden City, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.