Active NPI
Alycia Brown, MD
- Child & Adolescent Psychiatry Physician
- Boone, NC
National Provider Identifier
1790762078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 200101428
- Practice address
- 1760 NC Hwy 105
Boone, NC 28607-2860 - Phone
- (828) 202-9765
- Fax
- (877) 847-0561
- NPI assigned
- Dec 28, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 200101428 | NC | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 200101428 | NC | Primary |
Addresses
Primary practice location
1760 NC Hwy 105
Boone, NC 28607-2860
Mailing address
PO Box 1987
Boone, NC 28607-1987
Phone (828) 202-9765
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140C1 | Other | NC | BCBS PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dogwood Psychiatry PLLC | Psychiatry | Current | Accepting new patients |
| Alycia M Brown, MD PA | Psychiatry | Past | Accepting new patients |
| Charles a. Cannon, Jr. Memorial Hospital, Inc | Psychiatry | Past | Accepting new patients |
Locations
400 Shadowline Dr
Ste 204
Boone, NC 28607
Phone (828) 202-9765
Interoperability endpoints
- alyciabrown@arhs.allscriptsdirect.net
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.
-
- Psychiatry Physician
- Boone, NC
- NPI 1649131798
-
- Psychiatry Physician
- Graham, NC
- NPI 1588900955
-
- Psychiatry Physician
- Linville, NC
- NPI 1518906700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1790762078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1987",
"city": "BOONE",
"state": "NC",
"postal_code": "286071987",
"telephone_number": "828-202-9765",
"fax_number": "828-579-2764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 NC HWY 105",
"city": "BOONE",
"state": "NC",
"postal_code": "286072860",
"telephone_number": "828-202-9765",
"fax_number": "877-847-0561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ALYCIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-28",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "200101428",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NC",
"license": "200101428",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "140C1",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boone, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.