Individual provider Active NPI

Keith A Brown, M.D.

  • Psychiatry Physician
  • Auburn, WA
National Provider Identifier
1861541310
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD00024852 Issued in WA
Practice address
2704 I St NE
Auburn, WA 98002-2411
Phone
(253) 833-7444
Fax
(253) 833-0480
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD00024852 WA Primary

Addresses

Primary practice location

2704 I St NE
Auburn, WA 98002-2411

Mailing address

15121 NE 177TH Dr
Woodinville, WA 98072-6251
Phone (425) 488-9023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070126000043 WA Practitioner - Psychiatry 7113928615 Reassigns benefits to 2 organizations
I20230620001792 CA Practitioner - Psychiatry 7113928615 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Solutions for Children, Families and Individuals Current Accepting new patients
Community Integrated Health Services, LLC CurrentSince Dec 28, 2022 Accepting new patients
Valley Cities Counseling and Consultation CurrentSince Sep 9, 2019 Accepting new patients
Community Solutions for Children, Families and Individuals CurrentSince May 1, 2023 Accepting new patients

Locations

9015 Murray Ave
Ste 100
Gilroy, CA 95020
Phone (408) 665-4908

2704 I St NE
Auburn, WA 98002
Phone (253) 876-3415

1707 Cooks Hill Rd
Centralia, WA 98531
Phone (360) 736-1965

325 W Gowe St
Kent, WA 98032

1116 14th Ave
Longview, WA 98632
Phone (360) 623-5784

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861541310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15121 NE 177TH DR",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726251",
            "telephone_number": "425-488-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 I ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980022411",
            "telephone_number": "253-833-7444",
            "fax_number": "253-833-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KEITH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00024852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.