Manifest and Dream LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MANIFEST AND DREAM LLC

Practice address

2226 East Lake Avenue East
#1103
Seattle, WA 98102

Phone

(206) 800-8396

NPI assigned

Dec 6, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jamila M Brown, PSYDNPI 1740300714

Title

Owner

Phone

(206) 745-0704

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jamila M Brown, PsyD Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamila M Brown, PSYD

  • Clinical Child & Adolescent Psychologist
  • Seattle, WA
  • NPI 1740300714
  NPD Authorized official

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1730995507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 NW MARKET ST # 4512",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075264",
            "telephone_number": "206-800-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 EAST LAKE AVENUE EAST",
            "address_2": "#1103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98102",
            "telephone_number": "206-800-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFEST AND DREAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JAMILA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-745-0704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2287686",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jamila M Brown, PsyD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nandita S Mani, M.D.
• Mitchell Maniatopoulos, MD
• Anne Marie Manicone, M.D.
• Brandon James Maniego
• Dyan Maniego, LMP
• Anisa Anne Manion, CRNA
• Sally Jane Manion, CNM
• Sol Isaiah Manion, L.M.P.
• Stephanie Olive Manion, MHP, LMP
• Ben Maniwatana, M.D.

• Clinical Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.