Stephanie Diane Brown, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY6851 Issued in CA

Practice address

445 Burgess Dr Ste 150
Menlo Park, CA 94025-3475

Phone

(650) 322-0943

Fax

(650) 327-0738

NPI assigned

Jun 21, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2016 through Jan 1, 2028

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": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1699096917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 BURGESS DR STE 150",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253475",
            "telephone_number": "650-322-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BURGESS DR STE 150",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253475",
            "telephone_number": "650-322-0943",
            "fax_number": "650-327-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "STEPHANIE",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY6851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Brock, MFT
• Martin Irwin Bronk, MD
• Karla Amanda Brown, LMFT
• Katherine Ann Brown, DDS
• Mark Brown, M.D.
• Melanie J Brownie, M.A., CCC-SLP
• Faith Brozovich, PH.D.
• Jen Bruno
• Stacy Budin, M.D.
• Jessica Kopcho Buesing, MD

• Clinical Psychologist in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.