Individual provider Active NPI

Megan Alyssa Brown, PH.D.

  • Psychologist
  • Short Hills, NJ
National Provider Identifier
1962776484
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
68-017315 Issued in NJ
Practice address
748 Morris Tpke
Suite 211
Short Hills, NJ 07078-2623
Phone
(973) 376-8602
Fax
(973) 376-8603
NPI assigned
Mar 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 68-017315 NJ Primary

Addresses

Primary practice location

748 Morris Tpke
Suite 211
Short Hills, NJ 07078-2623

Mailing address

748 Morris Tpke
Suite 211
Short Hills, NJ 07078-2623
Phone (973) 376-8602

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
68-017315NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1962776484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 MORRIS TPKE",
            "address_2": "SUITE 211",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782623",
            "telephone_number": "973-376-8602",
            "fax_number": "973-376-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 MORRIS TPKE",
            "address_2": "SUITE 211",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782623",
            "telephone_number": "973-376-8602",
            "fax_number": "973-376-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MEGAN",
        "middle_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "68-017315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Short Hills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.