Kerry K Brown PSYD LP PLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP 4375 Issued in MN

Legal business name

KERRY K BROWN PSYD LP PLC

Practice address

401 Main St W
Cannon Falls, MN 55009-2044

Phone

(507) 263-3344

Fax

(507) 263-3344

NPI assigned

Aug 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kerry K Brown, PSYD LPNPI 1770507220

Title

President

Phone

(507) 263-3344

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kerry K Brown, PSY.D.

  • Psychologist
  • Cannon Falls, MN
  • NPI 1770507220
  Authorized official Same address or phone

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891706909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WEST MAIN STREET",
            "address_2": "P.O. BOX 261",
            "city": "CANNON FALLS",
            "state": "MN",
            "postal_code": "550090261",
            "telephone_number": "507-263-3344",
            "fax_number": "507-263-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MAIN ST W",
            "city": "CANNON FALLS",
            "state": "MN",
            "postal_code": "550092044",
            "telephone_number": "507-263-3344",
            "fax_number": "507-263-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY K BROWN PSYD LP PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-263-3344",
        "authorized_official_credential": "PSYD LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP 4375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John E Holte OD
• Shaunna K Johnson, OT
• Megan Susan Johnston Flanders, MD
• Mark J Juetten, DDS
• Charles M. Kelly II, M.D.
• Eric Ray Leveille, MD
• Libra Support Services LLC
• Leah Lindbeck, CNP-APRN
• Matthew August Maki, D.C.
• Mayo Clinic Health System-Southeast Minnesota Region (Mayo Clinic Health System-Cannon Falls)

• Psychologist in Cannon Falls, MN
• Providers in Cannon Falls, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.