Colleen Brown, PSY.D.
Individual provider Active NPI Clinical Child & Adolescent Psychologist · Springfield, PA
NPI 1922556372 · NPPES record last updated Dec 11, 2020
Key facts
- NPI
- 1922556372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Child & Adolescent Psychologist 103TC2200X
- License
- PS018118 (PA)
- Practice address
- 1489 Baltimore Pike
Suite 250
Springfield, PA 19064-3958 - Phone
- (610) 544-2110
- NPI assigned
- Sep 14, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Infinite Wellbeing LLC
Practice addresses (Care Compare)
814 Main St
Dickson City, PA 18519-1530
Phone (570) 904-7943
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161018001031 | PA | Practitioner - Clinical Psychologist | 0547558991 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS018118 | PA | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Psychological PC | Current |
Accepting new patients | |
| Infinite Wellbeing, LLC | Current |
Accepting new patients |
Locations
814 Main St
Dickson City, PA 18519
Phone (570) 904-7943
300 Scranton Carbondale Hwy
Eynon, PA 18403
Phone (570) 483-4190
1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PS018118 | PA | Yes |
Addresses
Primary practice location
1489 Baltimore Pike
Suite 250
Springfield, PA 19064-3958
Mailing address
1489 Baltimore Pike
Suite 250
Springfield, PA 19064-3958
Phone (610) 544-2110
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cbrown@thewrightcenter.medentdirect.com | Direct |
Other providers in Springfield, PA
- Teresa Brieck
- Richard L Brilliant
- Gabrielle Brooks
- Tran Tran Brough
- Abigail Brown
- Melissa P Broyles
- Eileen Elizabeth Brumbaugh
- Deneen Brusamonti
- Bucks Mont Ambulance
- Steffie Buerk
All providers in Springfield, PA · Clinical Child & Adolescent Psychologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.