Cynthia Rubin Brown, PSYD, MFT

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

MFT29762 Issued in CA

Practice address

2444 Wilshire Blvd
Suite 415
Santa Monica, CA 90403-5808

Phone

(310) 453-4854

NPI assigned

May 19, 2010

Last updated

Sep 30, 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 25, 2024 through Mar 25, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1851610646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 WILSHIRE BLVD",
            "address_2": "SUITE 415",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035808",
            "telephone_number": "310-453-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 WILSHIRE BLVD",
            "address_2": "SUITE 415",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035808",
            "telephone_number": "310-453-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CYNTHIA",
        "middle_name": "RUBIN",
        "credential": "PSYD, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CA",
            "license": "MFT29762",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "CA",
            "license": "MFT29762",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT29762",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anderson Broussard III
• Richard Ivy Broussard III
• Robert Brovarnik
• Meredith A Brower, MD
• Anise Brown
• Elizabeth Brown, MS, RDN
• Flora L Brown
• Lovelee Brown, MD
• Monique Starr Brown
• Nefertiti Adunni Brown, M.D.

• Psychoanalyst in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Psychoanalyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.