Kevin Brown, CRNP-PMH

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R205327 Issued in MD

Practice address

260 Gateway Dr Ste 13-14B
Bel Air, MD 21014-4268

Phone

(410) 286-1258

Fax

(443) 231-3684

NPI assigned

Jun 9, 2022

Sex

Male

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

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellness Legacy LLCGroup PAC ID 1052743457, 5 clinicians

Safe Harbor Behavioral Care LLCGroup PAC ID 0345514675, 81 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Safe Harbor Behavioral Care, LLC

  • Clinical Social Worker
  • Bel Air, MD
  • NPI 1316487879

  MD, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Wellness Legacy LLC

  • Nurse Practitioner
  • Bel Air, MD
  • NPI 1134777576

  MD, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Safe Harbor Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bel Air, MD
  • NPI 1184209447

  MD, Psychiatric/Mental Health

  Medicare reassignment NPD
• Wellness Legacy LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Towson, MD
  • NPI 1992433916

  Psychiatric/Mental Health

  NPD
• Wellness Legacy LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bel Air, MD
  • NPI 1265039549

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1740919190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 FALCON LN",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011256",
            "telephone_number": "443-838-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 GATEWAY DR STE 13-14B",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144268",
            "telephone_number": "410-286-1258",
            "fax_number": "443-231-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KEVIN",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R205327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Nicole Brown, NP
• Danielle Brown, NP
• Dillon Brown
• Dominic Letray Brown, OD
• Kaylee D. Brown, CRNP
• Kiersten Anastasha Gladys Brown
• Madeline Brown
• Michael T. Brown, LPC
• Michele Renee Brown
• Sherron Ittia Brown, LCPC

• Psychiatric/Mental Health Nurse Practitioner in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.