Tammy J Brown, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

R0364 Issued in MO

Practice address

1859 S Jefferson Ave
Lebanon, MO 65536-4221

Phone

(417) 588-7923

Fax

(417) 588-7924

NPI assigned

Jan 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other names 1

• Tammy J Plaster Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Evergreen Health Center, PC

  • Psychologist
  • Lebanon, MO
  • NPI 1306942693
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861548372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 S JEFFERSON AVE",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655364221",
            "telephone_number": "417-588-7923",
            "fax_number": "417-588-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 S JEFFERSON AVE",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655364221",
            "telephone_number": "417-588-7923",
            "fax_number": "417-588-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TAMMY",
        "middle_name": "J",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "R0364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "PLASTER",
            "middle_name": "J",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elaine Britzman, RN, BSN
• Loridan Bromberek, N.P.
• Brookeside Counseling Services
• Isabella Christina Brown, RD
• Meredith Leigh Brown, ATC, LAT
• Ashley Elizabeth Buchmeier, LPC
• Wayne Michael Buehler, R.PH
• Sheila Jean Buie, LPC
• Erin Clare Burke, PA-C, EMT
• Vicki W. Burkhart, OTR/L

• Psychologist in Lebanon, MO
• Providers in Lebanon, MO by specialty
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.