Individual provider Active NPI

Donalee Brown, PH.D.

  • Counseling Psychologist
  • Mountain Lakes, NJ
National Provider Identifier
1629330865
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
35S100443600 Issued in NJ
Practice address
15 Pointview PL
Mountain Lakes, NJ 07046-1643
Phone
(973) 335-6054
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35S100443600 NJ
Counseling Psychologist 103TC1900X 35S100443600 NJ Primary

Addresses

Primary practice location

15 Pointview PL
Mountain Lakes, NJ 07046-1643

Mailing address

15 Pointview PL
Mountain Lakes, NJ 07046-1643
Phone (973) 335-6054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20220519002576 CO Practitioner - Clinical Psychologist 4981081544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Focus UpwardGroup PAC ID 0143613786, 4 clinicians

Practice addresses (Care Compare)

12600 W Colfax Ave
Suite A100
Lakewood, CO 80215-3787
Phone (720) 446-6082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35S100443600NJMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Upward Psychologist CurrentSince Apr 1, 2022 Accepting new patients

Locations

12600 W Colfax Ave
Ste A100
Lakewood, CO 80215
Phone (720) 446-6082

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1629330865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 POINTVIEW PL",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461643",
            "telephone_number": "973-335-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 POINTVIEW PL",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461643",
            "telephone_number": "973-335-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DONALEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100443600",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "35S100443600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Lakes, NJ

Sources for this page

Verify at the official NPI Registry.