Individual provider Active NPI

Natashia Brown, PH.D.

  • Psychologist
  • Jamaica, NY
National Provider Identifier
1710216338
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
14541 109TH Ave
Jamaica, NY 11435-5413
Phone
(718) 613-4458
Fax
(718) 613-4381
NPI assigned
Dec 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

14541 109TH Ave
Jamaica, NY 11435-5413

Mailing address

14541 109TH Ave
Jamaica, NY 11435-5413
Phone (917) 848-9407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240516003304 DE Practitioner - Clinical Psychologist 4789857863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1057 S Bradford St
Dover, DE 19904-4141
Phone (347) 349-5714

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
018442NYMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NFN Brain Connections CurrentSince Jul 10, 2020 Accepting new patients
Kingsbrook Medical Associates, PC Past Accepting new patients
Kingsbrook Medical Associates PC Past Accepting new patients

Locations

1057 S Bradford St
Dover, DE 19904
Phone (302) 231-1245

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1710216338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14541 109TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114355413",
            "telephone_number": "917-848-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14541 109TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114355413",
            "telephone_number": "718-613-4458",
            "fax_number": "718-613-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NATASHIA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.