Active NPI
Daniel S Brown, PH.D.
- Psychologist
- Novato, CA
National Provider Identifier
1669874160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSB36298
- Practice address
- 505 San Marin Dr
Ste A150
Novato, CA 94945-1309 - Phone
- (415) 264-8892
- NPI assigned
- Sep 16, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSB36298 | CA | Primary |
Addresses
Primary practice location
505 San Marin Dr
Ste A150
Novato, CA 94945-1309
Mailing address
PO Box 444
Lagunitas, CA 94938-0444
Phone (415) 488-9686
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 |
|---|---|---|---|
| PSB36298 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410825600000",
"number": "1669874160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 444",
"city": "LAGUNITAS",
"state": "CA",
"postal_code": "949380444",
"telephone_number": "415-488-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 SAN MARIN DR",
"address_2": "STE A150",
"city": "NOVATO",
"state": "CA",
"postal_code": "949451309",
"telephone_number": "415-264-8892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DANIEL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-16",
"last_updated": "2014-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSB36298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.