Lawrence Owen Brown, PH.D.
Individual provider Active NPI Clinical Psychologist · Larchmont, NY
NPI 1740293265 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1740293265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 4640 (NY)
- Practice address
- 71 Beach Ave
Larchmont, NY 10538-4030 - Phone
- (914) 833-2133
- Fax
- (914) 833-2133
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 19, 2022 through Jun 19, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4640 | NY | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4640 | NY | Yes |
Addresses
Primary practice location
71 Beach Ave
Larchmont, NY 10538-4030
Mailing address
71 Beach Ave
Larchmont, NY 10538-4030
Phone (914) 833-2133
Other providers in Larchmont, NY
- Jill Breen
- Molly Broaddus
- Amber Michelle Brody
- Shara Marrero Brofman
- Sarah Brovman
- Robin Brown
- Sheila Feig Brown
- Patricia E Brust
- Gabija Bukauskaite
- Adonis Calderon
All providers in Larchmont, NY · Clinical Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.