Organization Active NPI

Rosebud Psychiatry PLLC

  • Psychiatry Physician
  • Belmont, MA
National Provider Identifier
1982398525
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Jun 5, 2024

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.