Mary Katherine Brown, MS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

5500 Market St Ste 119
Boardman, OH 44512-2616

Phone

(330) 991-9117

Fax

(330) 532-0042

NPI assigned

May 29, 2013

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Knapp Center for Childhood Development

  • Community/Behavioral Health Agency
  • Youngstown, OH
  • NPI 1699052191
  NPD (past)

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1720425812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6235 DUNCAN DR",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445141862",
            "telephone_number": "330-502-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MARKET ST STE 119",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445122616",
            "telephone_number": "330-991-9117",
            "fax_number": "330-532-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Robert Brocker
• Kelsey Brocker, PSYD
• Elliott Brodzinski, LMT
• Emily Brothers Cope, LMT
• Kristopher Brown, PSY.D., BCBA-D, LP
• Andrea Browne, DMD
• Susan Brownlee
• John Joseph Buckley Jr., M.D.
• Elijah Lamont Burch
• Thomas L Burkes

• Behavior Analyst in Boardman, OH
• Providers in Boardman, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.