Individual provider Active NPI

Mary Grace Brownsberger, PSY.D., ABPP (RP)

  • Rehabilitation Psychologist
  • Allentown, PA
National Provider Identifier
1497875199
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
License
PS016347 Issued in PA
Practice address
850 S 5TH St
Psychology Department
Allentown, PA 18103-3308
Phone
(610) 776-3233
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS016347 PA
Clinical Psychologist 103TC0700X PS016347 PA
Rehabilitation Psychologist 103TR0400X PS016347 PA Primary

Addresses

Primary practice location

850 S 5TH St
Psychology Department
Allentown, PA 18103-3308

Mailing address

850 S 5TH St
Psychology Department
Allentown, PA 18103-3308
Phone (610) 776-3233

Other identifiers 1

IdentifierTypeStateIssuer
102565855MedicaidPA

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

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1497875199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S 5TH ST",
            "address_2": "PSYCHOLOGY DEPARTMENT",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033308",
            "telephone_number": "610-776-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S 5TH ST",
            "address_2": "PSYCHOLOGY DEPARTMENT",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033308",
            "telephone_number": "610-776-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNSBERGER",
        "first_name": "MARY",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "PSY.D., ABPP (RP)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS016347",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016347",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "PA",
            "license": "PS016347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102565855",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.