Organization Active NPI

Philip H. Brown Dba Canterbury Psychotherapy Associates

  • Clinical Social Worker
  • Canterbury, CT
National Provider Identifier
1679764872
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000612 Issued in CT
Legal business name
PHILIP H. BROWN DBA CANTERBURY PSYCHOTHERAPY ASSOCIATES
Practice address
39 S Canterbury Rd
Canterbury, CT 06331-1520
Phone
(860) 546-6959
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Mr. Philip Henry Brown, MSW, LCSW
Title
Owner
Phone
(860) 546-6959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 000612 CT Primary

Addresses

Primary practice location

39 S Canterbury Rd
Canterbury, CT 06331-1520

Mailing address

39 S Canterbury Rd
P.O. Box 266
Canterbury, CT 06331-1520
Phone (860) 546-6959

National Provider Directory

National Provider Directory

Locations

39 S Canterbury Rd
Canterbury, CT 06331
Phone (860) 208-2606

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1679764872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 S CANTERBURY RD",
            "address_2": "P.O. BOX 266",
            "city": "CANTERBURY",
            "state": "CT",
            "postal_code": "063311520",
            "telephone_number": "860-546-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 S CANTERBURY RD",
            "city": "CANTERBURY",
            "state": "CT",
            "postal_code": "063311520",
            "telephone_number": "860-546-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP H. BROWN DBA CANTERBURY PSYCHOTHERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-546-6959",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "000612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.