Nicole Marie Brown, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS016845 Issued in PA

Practice address

4 Terry Dr
The Atrium - Suite 7
Newtown, PA 18940-1838

Phone

(215) 860-1144

Fax

(215) 860-9333

NPI assigned

Aug 20, 2010

Sex

Female

Sole proprietor

No

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2011 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dr Nicole M Brown PLLC

  • Clinical Psychologist
  • Langhorne, PA
  • NPI 1083468292
  NPD Authorized official
• Dr Jeffrey a Fine Associates PC

  • Clinical Psychologist
  • Newtown, PA
  • NPI 1104017516
  NPD (past)
• McKernan Therapy and Consultation

  • Mental Health Counselor
  • Newtown, PA
  • NPI 1346089133
  NPD (past)

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1649586298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TERRY DR",
            "address_2": "THE ATRIUM - SUITE 7",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401838",
            "telephone_number": "215-860-1144",
            "fax_number": "215-860-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 TERRY DR",
            "address_2": "THE ATRIUM - SUITE 7",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401838",
            "telephone_number": "215-860-1144",
            "fax_number": "215-860-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brightwell Mental Health LLC
• Randy Brister, MD
• Briyut Care LLC
• Brianna Nicole Brophy
• Ileena Brown, MS.P
• Rachael A Brown, M.ED.
• William Charles Brown Jr., M.D.
• Melanie S Browndorf, MS, LPC
• Bruce a Goodman, M.D., P.C.
• Bryan Carestia, PT, DPT, CSCS (One2One Physical Therapy, LLC)

• Clinical Psychologist in Newtown, PA
• Providers in Newtown, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.