Active NPI
Thomas Milburn Brown III, PSYD
- Psychologist
- Orem, UT
National Provider Identifier
1902092356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 60092612501
- Practice address
- 1788 North State Street
Orem, UT 84057 - Phone
- (801) 404-2685
- NPI assigned
- Sep 19, 2007
- Last updated
- Apr 13, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 60092612501 | UT | Primary |
Addresses
Primary practice location
1788 North State Street
Orem, UT 84057
Mailing address
1788 North State Street
Orem, UT 84057
Phone (801) 404-2685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60092612501 | UT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271116800000",
"number": "1902092356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1788 NORTH STATE STREET",
"city": "OREM",
"state": "UT",
"postal_code": "84057",
"telephone_number": "801-404-2685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1788 NORTH STATE STREET",
"city": "OREM",
"state": "UT",
"postal_code": "84057",
"telephone_number": "801-404-2685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "THOMAS",
"middle_name": "MILBURN",
"name_suffix": "III",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-19",
"last_updated": "2010-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "UT",
"license": "60092612501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.