Active NPI
Vernon Elroy Brown, PH.D.
- Counseling Psychologist
- East Liverpool, OH
National Provider Identifier
1972630697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 4651
- Practice address
- 414 E 5TH St
East Liverpool, OH 43920-3134 - Phone
- (330) 386-3844
- Fax
- (330) 386-4129
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 4651 | OH | Primary |
Addresses
Primary practice location
414 E 5TH St
East Liverpool, OH 43920-3134
Mailing address
414 E 5TH St
PO Box 41
East Liverpool, OH 43920-3134
Phone (330) 386-3844
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2343208 | Medicaid | OH | |
| 1035210 | Other | CIGNA BEHAVIORAL | |
| 000000126028 | Other | ANTHEM BC BS | |
| 721820000 | Other | MAGELLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050119000442 | OH | Practitioner - Clinical Psychologist | 8729037759 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4651 | OH | MD | Optometrist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1972630697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 E 5TH ST",
"address_2": "PO BOX 41",
"city": "EAST LIVERPOOL",
"state": "OH",
"postal_code": "439203134",
"telephone_number": "330-386-3844",
"fax_number": "330-386-4129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 E 5TH ST",
"city": "EAST LIVERPOOL",
"state": "OH",
"postal_code": "439203134",
"telephone_number": "330-386-3844",
"fax_number": "330-386-4129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "VERNON",
"middle_name": "ELROY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "OH",
"license": "4651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2343208",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL",
"identifier": "1035210",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "000000126028",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "721820000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Liverpool, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.