Jonathan Brown, PHD, MFT

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY14513 Issued in CA

Practice address

275 Miller Ave Ste 101
Mill Valley, CA 94941-2851

Phone

(415) 383-2990

NPI assigned

Jun 18, 2019

Last updated

Jun 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1508426958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 MILLER AVE STE 101",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412851",
            "telephone_number": "415-383-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MILLER AVE STE 101",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412851",
            "telephone_number": "415-383-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JONATHAN",
        "credential": "PHD, MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14513",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": "PSY14513",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NU",
            "license": "PSY14513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jbrownphdmft@comcast.net",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "275 Miller Ave Ste 101",
            "city": "Mill Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949412851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julie Brinkman
• Marti J Briscoe, PSY.D.
• Vivian Marie Broadway-Firmage, DDS
• Amie Brooke, LIC. AC.
• Thomas Brookshire, P.A.
• Madison Brown, DDS
• Bryan Abrams DDS, PC
• Janet Buder, PT
• Lynda Suzanne Bunn, D.C.
• Tina Marie Buoncristiani, P.N.P.

• Psychologist in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.