Individual provider Active NPI

Michelle Brownfield, PSYD, LP

  • Psychologist
  • Duluth, MN
National Provider Identifier
1801493952
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP6380 Issued in MN
Practice address
1346 W Arrowhead Rd Ste 247
Duluth, MN 55811-2218
Phone
(218) 206-2021
NPI assigned
Oct 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X LP6380 MN Primary

Addresses

Primary practice location

1346 W Arrowhead Rd Ste 247
Duluth, MN 55811-2218

Mailing address

1346 W Arrowhead Rd Ste 247
Duluth, MN 55811-2218
Phone (218) 206-2021

Other practice location 1

606 Spear Ave
Duluth, MN 55803-2154
Phone (239) 839-4204

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Duluth

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP6380MNMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1801493952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 W ARROWHEAD RD STE 247",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112218",
            "telephone_number": "218-206-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 W ARROWHEAD RD STE 247",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112218",
            "telephone_number": "218-206-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 Spear Ave",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558032154",
            "country_code": "US",
            "telephone_number": "239-839-4204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWNFIELD",
        "first_name": "MICHELLE",
        "credential": "PSYD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP6380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Duluth",
            "affiliation": "N",
            "address_1": "606 Spear Ave",
            "city": "Duluth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "558032154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.