Individual provider Active NPI

Craig Michael Brower, PSY D

  • Psychologist
  • Watertown, NY
National Provider Identifier
1659394849
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS015321L Issued in PA
Practice address
531 Washington St
Suite 2401
Watertown, NY 13601-4084
Phone
(315) 788-3332
Fax
(315) 788-4584
NPI assigned
Jul 26, 2006
Last updated
Aug 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS015321L PA Primary

Addresses

Primary practice location

531 Washington St
Suite 2401
Watertown, NY 13601-4084

Mailing address

531 Washington St
Suite 2401
Watertown, NY 13601-4084
Phone (315) 788-3332

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

State licenses

LicenseStateTypeSpecialty
017098NYMDMental Health Counselor
PS015321LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Pathways Counseling Services Current Accepting new patients
Journey Therapy, LLC PastSince Aug 1, 2020 Accepting new patients
Psychological Health Affiliates LLC Psychologist PastSince Jan 1, 2006 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249516800000",
    "number": "1659394849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 WASHINGTON ST",
            "address_2": "SUITE 2401",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014084",
            "telephone_number": "315-788-3332",
            "fax_number": "315-788-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 WASHINGTON ST",
            "address_2": "SUITE 2401",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014084",
            "telephone_number": "315-788-3332",
            "fax_number": "315-788-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWER",
        "first_name": "CRAIG",
        "middle_name": "MICHAEL",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2009-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS015321L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.