Individual provider Active NPI

Peter Ross Brown, MD

  • Clinical Psychologist
  • Orland Park, IL
National Provider Identifier
1508055104
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Practice address
9601 165TH St
Suite 6
Orland Park, IL 60467-5660
Phone
(708) 646-8070
Fax
(815) 464-9737
NPI assigned
Oct 18, 2007
Last updated
Oct 29, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X IL Primary

Addresses

Primary practice location

9601 165TH St
Suite 6
Orland Park, IL 60467-5660

Mailing address

9601 165TH St
Suite 6
Orland Park, IL 60467-5660
Phone (708) 646-8070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120220000558 IL Practitioner - Clinical Psychologist 7719145929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeshore Anesthesia LTDGroup PAC ID 6103918453, 4 clinicians

Practice addresses (Care Compare)

6145 N Northwest Hwy
Chicago, IL 60631-2127
Phone (312) 809-6500

9031 W 151St St
Suite 207
Orland Park, IL 60462-6563
Phone (708) 646-8070

Merit-based Incentive Payment System (MIPS)

Final score
75.3 of 100Reported as group
Quality
38.9
Improvement activities
40
Cost
76.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Anesthesia LTD CurrentSince Aug 1, 2023 Accepting new patients
Paintox LLC Current Accepting new patients
Brownstone & Associates, LLC Clinical CurrentSince Jul 1, 2002 Accepting new patients

Locations

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

6145 N Northwest Hwy
Chicago, IL 60631
Phone (857) 706-4907

9031 W 151st St
Ste 207
Orland Park, IL 60462
Phone (708) 403-8070

9601 165th St
Ste 6
Orland Park, IL 60467
Phone (708) 646-8070

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1508055104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 165TH ST",
            "address_2": "SUITE 6",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675660",
            "telephone_number": "708-646-8070",
            "fax_number": "815-464-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 165TH ST",
            "address_2": "SUITE 6",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675660",
            "telephone_number": "708-646-8070",
            "fax_number": "815-464-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PETER",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.