Active NPI
Allan Wilton Brown, PHD
- Clinical Psychologist
- Redlands, CA
National Provider Identifier
1629369889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 24008
- Practice address
- 1255 W. Colton Avenue
522
Redlands, CA 92374 - Phone
- (626) 587-9600
- Fax
- (909) 425-6635
- NPI assigned
- Apr 22, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 24008 | CA | Primary |
Addresses
Primary practice location
1255 W. Colton Avenue
522
Redlands, CA 92374
Mailing address
25765 Amapolas Street
Loma Linda, CA 92354
Phone (909) 425-7679
Other names 1
- Steve Wilton Brown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 24008 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1629369889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25765 AMAPOLAS STREET",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92354",
"telephone_number": "909-425-7679",
"fax_number": "909-425-6635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 W. COLTON AVENUE",
"address_2": "522",
"city": "REDLANDS",
"state": "CA",
"postal_code": "92374",
"telephone_number": "626-587-9600",
"fax_number": "909-425-6635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ALLAN",
"middle_name": "WILTON",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-22",
"last_updated": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 24008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEVE",
"last_name": "BROWN",
"middle_name": "WILTON",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.