Jessica Young Brown, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005126 Issued in VA

Practice address

4915 Radford Ave
Richmond, VA 23230-3528

Phone

(804) 277-9019

NPI assigned

Mar 22, 2016

Last updated

Mar 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Janee Young Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1659733467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 N JAMES ESTATES DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232315869",
            "telephone_number": "804-277-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 RADFORD AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303528",
            "telephone_number": "804-277-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JESSICA",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "YOUNG",
            "middle_name": "JANEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather N Brown, PA-C
• Jasmine Charese Brown, MSW
• Jeannette Gloria Brown, WHNP BC. MSN
• Jeffrey Ryan Brown, MD
• Jessica Brown, LCSW
• Joan C Brown, CRNA
• John M Brown, PA C
• Justin Brown
• Justin Michael Brown, LPC
• Kenneth Blair Brown, MD

• Clinical Psychologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.