Organization Active NPI

Laura S Brown PHD PS Inc

  • Clinical Psychologist
  • Seattle, WA
National Provider Identifier
1700156387
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00000615 Issued in WA
Legal business name
LAURA S BROWN PHD PS INC
Practice address
4131 1St Ave NW
Seattle, WA 98107-4910
Phone
(206) 633-2405
Fax
(206) 547-5298
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Dr. Laura S Brown, PHD
Title
President
Phone
(206) 633-2405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY00000615 WA Primary

Addresses

Primary practice location

4131 1St Ave NW
Seattle, WA 98107-4910

Mailing address

4131 1St Ave NW
Seattle, WA 98107-4910
Phone (206) 633-2405

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1700156387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 1ST AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074910",
            "telephone_number": "206-633-2405",
            "fax_number": "206-547-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 1ST AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074910",
            "telephone_number": "206-633-2405",
            "fax_number": "206-547-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA S BROWN PHD PS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-633-2405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00000615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.