Jessica M. Brown, Psy.D., LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Skokie, IL
NPI 1497035547 · NPPES record last updated Dec 10, 2013
Key facts
- NPI
- 1497035547
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- 071007035 (IL)
- Legal business name
- JESSICA M. BROWN, PSY.D., LLC
- Practice address
- 4709 Golf Rd
Suite 1150
Skokie, IL 60076-1231 - Phone
- (773) 469-1722
- NPI assigned
- Aug 22, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Jessica M. Brown, PSY.D.
- Title
- Clinical Psychologist
- Phone
- (773) 469-1722
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 071007035 | IL | Yes |
Addresses
Primary practice location
4709 Golf Rd
Suite 1150
Skokie, IL 60076-1231
Mailing address
4709 Golf Rd
Suite 1150
Skokie, IL 60076-1231
Phone (773) 469-1722
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.