Active NPI
Serena-Lynn Brown, M.D.
- Psychiatry Physician
- Milford, CT
National Provider Identifier
1710189386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25744 MD
- Practice address
- 88 Noble Ave
Suite 202
Milford, CT 06460-4738 - Phone
- (203) 878-0522
- Fax
- (203) 795-4211
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25744 MD | CT | Primary |
Addresses
Primary practice location
88 Noble Ave
Suite 202
Milford, CT 06460-4738
Mailing address
88 Noble Ave
Suite 202
Milford, CT 06460-4738
Phone (203) 878-0522
Medicare participation
Medicare enrollment files- 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: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2013 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25744 MD | CT | MD | Psychiatry Physician |
Interoperability endpoints
- serena-lynn.brown.1@18773.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710189386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 NOBLE AVE",
"address_2": "SUITE 202",
"city": "MILFORD",
"state": "CT",
"postal_code": "064604738",
"telephone_number": "203-878-0522",
"fax_number": "203-795-4211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 NOBLE AVE",
"address_2": "SUITE 202",
"city": "MILFORD",
"state": "CT",
"postal_code": "064604738",
"telephone_number": "203-878-0522",
"fax_number": "203-795-4211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "SERENA-LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "25744 MD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.