Individual provider Active NPI

Jane H. Debrown, PSY.D.

  • Psychologist
  • Tempe, AZ
National Provider Identifier
1578669107
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1820 Issued in AZ
Practice address
4500 S Lakeshore Dr Ste 300
Tempe, AZ 85282-7028
Phone
(480) 756-1669
Fax
(480) 756-2132
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1820 AZ Primary

Addresses

Primary practice location

4500 S Lakeshore Dr Ste 300
Tempe, AZ 85282-7028

Mailing address

4500 S Lakeshore Dr Ste 300
Tempe, AZ 85282-7028
Phone (480) 756-1669

Other identifiers 1

IdentifierTypeStateIssuer
AZ0613200OtherAZBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20120228000395 AZ Practitioner - Clinical Psychologist 8325206956 Practice locations: Tempe, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4500 S Lakeshore Dr
Suite 300
Tempe, AZ 85282-7028
Phone (480) 756-1669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1820AZMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1578669107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S LAKESHORE DR STE 300",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827028",
            "telephone_number": "480-756-1669",
            "fax_number": "480-756-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S LAKESHORE DR STE 300",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827028",
            "telephone_number": "480-756-1669",
            "fax_number": "480-756-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBROWN",
        "first_name": "JANE",
        "middle_name": "H.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "1820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "AZ0613200",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.