Individual provider Active NPI

David S. Brown, PSYD

  • Clinical Psychologist
  • South Hadley, MA
National Provider Identifier
1881780088
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8639 Issued in MA
Practice address
9 College St
Suite 6
South Hadley, MA 01075-1421
Phone
(413) 534-7400
Fax
(413) 534-7483
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 8639 MA Primary

Addresses

Primary practice location

9 College St
Suite 6
South Hadley, MA 01075-1421

Mailing address

7 Isabel CT
Hadley, MA 01035-9719
Phone (413) 320-7132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20090609000354 MA Practitioner - Clinical Psychologist 9032269287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Child and Family Psychological Services PLLCGroup PAC ID 5991763823, 260 clinicians

Practice addresses (Care Compare)

12 Alfred St
Suite 200
Woburn, MA 01801-1915
Phone (781) 646-0500

89 Access Rd
Suite 24
Norwood, MA 02062-5233
Phone (781) 551-0999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8639MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Psychological Services, PLLC Clinical CurrentSince Sep 19, 2018 Accepting new patients
Massachusetts General Physicians Organization Inc Past Accepting new patients

Locations

22 Mill St
Ste 4
Arlington, MA 02476
Phone (781) 246-0500

89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040

92 Montvale Ave
Ste 2450
Stoneham, MA 02180

12 Alfred St
Ste 200
Woburn, MA 01801
Phone 7816460500 ext. 112

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240790400000",
    "number": "1881780088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ISABEL CT",
            "city": "HADLEY",
            "state": "MA",
            "postal_code": "010359719",
            "telephone_number": "413-320-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 COLLEGE ST",
            "address_2": "SUITE 6",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751421",
            "telephone_number": "413-534-7400",
            "fax_number": "413-534-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DAVID",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hadley, MA

Sources for this page

Verify at the official NPI Registry.