Stephen Tyler Brown, PSY.D.
Individual provider Active NPI Clinical Psychologist · Greenville, SC
NPI 1699291963 · NPPES record last updated Nov 1, 2023
Key facts
- NPI
- 1699291963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1801 (SC)
- Practice address
- 100 Augusta St
Greenville, SC 29601-3504 - Phone
- (864) 455-2600
- NPI assigned
- Aug 18, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2800 | KS | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2800 | KS | |
| Rehabilitation Psychologist | 103TR0400X | PSY004457 | GA | |
| Clinical Psychologist | 103TC0700X | 1801 | SC | Yes |
Addresses
Primary practice location
100 Augusta St
Greenville, SC 29601-3504
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
1845 Fairmount St
Wichita, KS 67260-9700
Phone (316) 978-3440
Other providers in Greenville, SC
- Sabrea Brown
- Sarina Brown
- Savanna Mian Brown
- Shelby R Brown
- Stephanie Leigh Brown
- Susan Elizabeth Brown
- Suzanne Claycomb Brown
- Takiyah Brown
- Tara Brown
- Timothy Michael Brown
All providers in Greenville, SC · Clinical Psychologist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.