Sidney Ann Brown, PSYD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4947 Issued in CO

Practice address

Pinon & Cottonwood Dr
Building #2301
Shiprock, NM 87401

Phone

(505) 368-1450

Fax

(505) 368-1461

NPI assigned

Jan 7, 2010

Last updated

Aug 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1669702932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1830",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874201830",
            "telephone_number": "505-368-1450",
            "fax_number": "505-368-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PINON & COTTONWOOD DR",
            "address_2": "BUILDING #2301",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-368-1450",
            "fax_number": "505-368-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SIDNEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "24174",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "24174",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "4947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4947",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Rae Brandser, MAC, LPCC, LADAC
• Patricia A Breeden, MD
• Marie Brown-Wagner, MD
• Arlene Nakai Brown, MA
• Judy L Brown, PAC
• Yolanda K Brown, PHARM.D.
• Eve Solange Bruneau, D.O.
• John R Bryan, PA-C
• Pamela Bryan
• Ryan William Buff, PHARM D

• Professional Counselor in Shiprock, NM
• Providers in Shiprock, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.