Judith R. Brown, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY8747 Issued in CA

Practice address

39812 Mission Blvd
Suite 106
Fremont, CA 94539-3056

Phone

(510) 793-9840

Fax

(510) 353-1375

NPI assigned

Jul 24, 2006

Last updated

Jan 12, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. R. Judith Brown Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gentle Healing Trauma Psychotherapy

  dba Gentle Healing Space

  • Marriage & Family Therapist
  • Fremont, CA
  • NPI 1609679281
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1841212149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39812 MISSION BLVD",
            "address_2": "SUITE 106",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393056",
            "telephone_number": "510-793-9840",
            "fax_number": "510-353-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39812 MISSION BLVD",
            "address_2": "SUITE 106",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393056",
            "telephone_number": "510-793-9840",
            "fax_number": "510-353-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JUDITH",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY8747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R.",
            "last_name": "BROWN",
            "middle_name": "JUDITH",
            "prefix": "MS.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeffrey Bromberg, PH.D.
• Albert L. Brooks, M.D.
• Matthew Joel Brooks, NP
• Brookvale Family Dentistry
• Betty Brown, MA
• Kathleen Suzanne Brown, MFT
• Kayla Brown
• Lisa Catherine Brown
• Rachel Brown, PA-C
• William Herbert Brown III, M.D.

• Clinical Psychologist in Fremont, CA
• Providers in Fremont, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.