Kristin Mack Brown, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS019980 Issued in PA

Practice address

107 Chesley Dr Ste 2
Media, PA 19063-1760

Phone

(610) 529-1875

NPI assigned

Mar 11, 2020

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• The CBT Center for Anxiety & Ocd LLC

  • Psychologist
  • Media, PA
  • NPI 1386508661
  NPD

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1821623679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CHESLEY DR STE 2",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631760",
            "telephone_number": "610-529-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CHESLEY DR STE 2",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631760",
            "telephone_number": "610-529-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK BROWN",
        "first_name": "KRISTIN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Lynch, AU.D.
• Kacey Lynch
• Morgan Lyons, RBT
• Xihlovo Mabunda
• Taracolleen Macatee, PSY.D.
• Rachel Mack
• Jane S Mackay, M.A.
• Madeline Rose Macmillan, M.S. CCC-SLP
• Karyn Elizabeth Macqueen, PA-C
• Deborah Madnick, PSYD

• Clinical Psychologist in Media, PA
• Providers in Media, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.