Peter Allen Brown, PSYD, MA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY#26174 Issued in CA

Practice address

550 H St Ste 5N
Crescent City, CA 95531-3737

Phone

(415) 375-0096

NPI assigned

Jul 13, 2010

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1881906261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6892",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974150351",
            "telephone_number": "415-375-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 H ST STE 5N",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955313737",
            "telephone_number": "415-375-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PETER",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PSYD, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-13",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "CA",
            "license": "PSY26174",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "CA",
            "license": "26174",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY#26174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Bracebridge, APRN, FNP-C
• Susan Brallier, DO
• Jordan Alexandria Branch
• Darlene Allison Breazeal, MS
• Michael L Brown, RN
• Rochelle Marie Brown, MP
• Karl Arthur Bruhns, O.D.
• Cara Ann Brustol
• Christine Bryden, RN
• Shauna Burdick, RN

• All providers in Crescent City, CA
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.