Individual provider Active NPI

Michelle Brown, M.A., PSY.D.

  • Psychologist
  • Seattle, WA
National Provider Identifier
1841549375
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY60318426 Issued in WA
Practice address
4711 44TH Ave SW Ste C
Seattle, WA 98116-4401
Phone
(206) 317-4646
Fax
(888) 240-5967
NPI assigned
Aug 30, 2012
Last updated
May 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY60318426 WA Primary

Addresses

Primary practice location

4711 44TH Ave SW Ste C
Seattle, WA 98116-4401

Mailing address

4711 44TH Ave SW Ste C
Seattle, WA 98116-4401
Phone (206) 317-4646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20140513002182 WA Practitioner - Clinical Psychologist 4789807090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bill Heusler PSYD PLLCGroup PAC ID 2264722123, 12 clinicians

Practice addresses (Care Compare)

4711 44TH Ave SW
Suite C
Seattle, WA 98116-4401
Phone (425) 478-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PY60318426WAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ellen a. Begley, PH.D. PLLC PastSince Jan 1, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1841549375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 44TH AVE SW STE C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164401",
            "telephone_number": "206-317-4646",
            "fax_number": "888-240-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 44TH AVE SW STE C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164401",
            "telephone_number": "206-317-4646",
            "fax_number": "888-240-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.A., PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60318426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.