Active NPI
Rosebud Psychiatry PLLC
- Psychiatry Physician
- Belmont, MA
National Provider Identifier
1982398525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- ROSEBUD PSYCHIATRY PLLC
- Practice address
- 115 Mill Street
C/O Kelly Brown, Proctor House 324C
Belmont, MA 02478-1064 - Phone
- (617) 855-3433
- NPI assigned
- Jun 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly J Brown-Jeanbart, MD
- Title
- Psychiatrist
- Phone
- (616) 260-2540
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
115 Mill Street
C/O Kelly Brown, Proctor House 324C
Belmont, MA 02478-1064
Mailing address
115 Mill Street
C/O Kelly Brown-Jeanbart, Mailstop 222
Belmont, MA 02478-1064
Phone (617) 855-3433
National Provider Directory
National Provider DirectoryLocations
115 Mill St
#222
Belmont, MA 02478
Phone (617) 855-2234
115 Mill St
#324C
Belmont, MA 02478
Phone (617) 855-3433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717545600000",
"number": "1982398525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 MILL STREET",
"address_2": "C/O KELLY BROWN-JEANBART, MAILSTOP 222",
"city": "BELMONT",
"state": "MA",
"postal_code": "024781064",
"telephone_number": "617-855-3433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 MILL STREET",
"address_2": "C/O KELLY BROWN, PROCTOR HOUSE 324C",
"city": "BELMONT",
"state": "MA",
"postal_code": "024781064",
"telephone_number": "617-855-3433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSEBUD PSYCHIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-06",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A",
"authorized_official_last_name": "BROWN-JEANBART",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "616-260-2540",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.