Susan Rachel Brown, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY11944 Issued in CA

Practice address

1621 Oak Ave
Suite B
Davis, CA 95616-1000

Phone

(530) 753-0920

Fax

(530) 756-0636

NPI assigned

Feb 18, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Sacramento Center for Psychotherapy

  • Psychologist
  • Davis, CA
  • NPI 1043554371
  NPD (past)

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881738284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 SHELTER COVE AVE",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956162628",
            "telephone_number": "530-753-9016",
            "fax_number": "530-765-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 OAK AVE",
            "address_2": "SUITE B",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161000",
            "telephone_number": "530-753-0920",
            "fax_number": "530-756-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SUSAN",
        "middle_name": "RACHEL",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY11944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Renee Brophy
• Andrea Elizabeth Brown, M.S., CCC-SLP
• Dale P Brown Jr., LCSW
• Mika Brown
• Ronald L Brown, M.D.
• Monica Margaret Bruce, CNM, RN
• Henriette Birgitte Bruun, PT
• Kelsey Buchanan
• James Buck, RPH
• Tu-Minh Bui

• Psychologist in Davis, CA
• Providers in Davis, CA by specialty
• Psychologist in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.