Nicole Brown, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2012548 Issued in CA

Practice address

22837 Ventura Blvd
Suite 200
Woodland Hills, CA 91364-1224

Phone

(310) 855-3276

NPI assigned

Jul 11, 2015

Last updated

Oct 21, 2024By the provider in NPPES

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Learning Dynamics, Inc.

  • Community/Behavioral Health Agency
  • Woodland Hills, CA
  • NPI 1497091045
  Authorized official Same address or phone

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

{
    "created_epoch": "1436572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1518341387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22837 VENTURA BLVD",
            "address_2": "SUITE 200",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641224",
            "telephone_number": "310-855-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22837 VENTURA BLVD",
            "address_2": "SUITE 200",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641224",
            "telephone_number": "310-855-3276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 Stockdale Hwy",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933092233",
            "country_code": "US",
            "telephone_number": "310-393-9893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "663 Cochran St Ste 114",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930651939",
            "country_code": "US",
            "telephone_number": "310-855-3276",
            "fax_number": "310-393-9893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-11",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "2012548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Giustina Brown
• Kayla Monique Brown, OTR/L
• Kherra Brown
• Kristofer Brown
• Laurin Marin Brown, MA
• Nikita Vernell Brown
• Bruce I. Derman Psychological Corporation
• Mara Stephanie Bruckner, M.A., M.F.T.
• Holly Patricia Brumbach
• Christine Ann Bruney, RPH

• Psychologist in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.