Active NPI
Rashida W Brown, PHD
- Clinical Psychologist
- Stone Mountain, GA
National Provider Identifier
1649681545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY003753
- Practice address
- 913 Main St
Ste H
Stone Mountain, GA 30083-3096 - Phone
- (352) 246-5100
- NPI assigned
- May 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | PSY003753 | GA | Primary |
Addresses
Primary practice location
913 Main St
Ste H
Stone Mountain, GA 30083-3096
Mailing address
2353 Braelin Loop
McDonough, GA 30253-9067
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY003753 | GA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403049600000",
"number": "1649681545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2353 BRAELIN LOOP",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302539067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 MAIN ST",
"address_2": "STE H",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300833096",
"telephone_number": "352-246-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "RASHIDA",
"middle_name": "W",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-13",
"last_updated": "2014-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY003753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.