Active NPI
George S Brown, PHD
- Psychologist
- Murray, UT
National Provider Identifier
1790846137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1134052501
- Practice address
- 845 E 4800 So
#200
Murray, UT 84107 - Phone
- (801) 264-9522
- Fax
- (801) 265-9604
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1134052501 | UT | Primary |
Addresses
Primary practice location
845 E 4800 So
#200
Murray, UT 84107
Mailing address
845 E 4800 So
#200
Murray, UT 84107
Phone (801) 264-9522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1134052501 | UT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790846137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 E 4800 SO",
"address_2": "#200",
"city": "MURRAY",
"state": "UT",
"postal_code": "84107",
"telephone_number": "801-264-9522",
"fax_number": "801-265-9604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 E 4800 SO",
"address_2": "#200",
"city": "MURRAY",
"state": "UT",
"postal_code": "84107",
"telephone_number": "801-264-9522",
"fax_number": "801-265-9604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "GEORGE",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "UT",
"license": "1134052501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.