JEFFREY BROWN, MA, LP (NPI# 1275680407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275680407 |
| Entity Type | Organization |
| Organization Name | JEFFREY BROWN, MA, LP |
| Practice Address |
6200 Shingle Creek Pkwy Suite460-2 Brooklyn Center MN 55430-2128 |
| Practice Telephone | 7635660922 |
| Mailing Telephone | 7635660922 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JEFFREY BROWN (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 7635660922 |
| Authorized Official Credential | MA, LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP 2069 | MN | Behavioral Health & Social Service Providers |
| Street Address |
6200 SHINGLE CREEK PKWY SUITE460-2 |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55430-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255305355 | Brett W Nyholm | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2006-02-15 |
| 1881007110 | Mary Prescott | Nurse Practitioner | 6200 Shingle Creek Pkwy, Suite 300, Brooklyn Center, MN 55430-2128 | 2014-06-04 |
| 1619265444 | Cari A Bushey | Nurse Practitioner | 6200 Shingle Creek Pkwy, Suite 260, Brooklyn Center, MN 55430-2128 | 2011-07-14 |
| 1427285030 | Carl Dean | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2009-06-22 |
| 1023253069 | Katherine M Carlson | Dietitian, Registered | 6200 Shingle Creek Pkwy, Ste 300, Brooklyn Center, MN 55430-2128 | 2008-12-04 |
| 1497906242 | Zeeraq Rahmatullah | Internal Medicine | 6200 Shingle Creek Pkwy, 300, Brooklyn Center, MN 55430-2128 | 2008-10-09 |
| 1568670867 | Kyle P Onan | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2007-05-18 |
| 1881754471 | Eileen O Mundenar | Physician Assistant | 6200 Shingle Creek Pkwy, Suite 300, Brooklyn Center, MN 55430-2128 | 2006-12-12 |
| 1205940798 | Marc Weber | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 260, Brooklyn Center, MN 55430-2128 | 2006-08-19 |
| 1174537542 | Michelle Busch I | Nurse Practitioner | 6200 Shingle Creek Pkwy, Suite 260, Brooklyn Center, MN 55430-2128 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362182 | Graceland Homes | Home Health | 6843 Colfax Ave N, Brooklyn Center, MN 55430 | 2020-06-29 |
| 1912549742 | His Services Home Care, LLC | Home Health | 2108 70th Avenue North, Brooklyn Park, MN 55430 | 2019-10-14 |
| 1336612969 | Jeremiah Sk Pojah Sr. | Registered Nurse | 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 | 2019-01-07 |
| 1891219697 | Tamika Yvette Spicer | Home Health Aide | 6640 Humboldt Ave N, 101, Brooklyn Center, MN 55430 | 2017-08-02 |
| 1265973358 | James Contois | Community Based Residential Treatment Facility, Mental Illness | 6120 Earle Brown Drive, Suite 100, Brooklyn Center, MN 55430 | 2017-03-09 |
| 1336693746 | Sara Jean Cooper | Dentist | 1090 Shingle Creek Pkwy, Brooklyn Center, MN 55430 | 2016-08-15 |
| 1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
| 1649628561 | Tranquility Health LLC | Community/Behavioral Health | 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 | 2016-06-01 |
| 1104233790 | Lillie's Helping Hands | In Home Supportive Care | 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 | 2014-07-16 |
| 1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
| Find all providers in zip 55430 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265577449 | Maggie Elizabeth Bania | Psychologist | 7054 Brooklyn Blvd, Brooklyn Center, MN 55429-1370 | 2007-02-21 |
| 1720155823 | Brian William Putz | Psychologist | 6200 Shingle Creek Pkwy Ste 455, Brooklyn Center, MN 55430-2178 | 2006-11-30 |
| 1083716013 | Marilyn Reichman | Psychologist | 570l Shingle Creek Pkwy, Suite 500, Brooklyn Center, MN 55430 | 2006-09-01 |
| 1265462212 | North Psychology Clinic Pa | Psychologist | 6120 Earle Brown Drive Ste. 520, North Psychology Clinic P.a., Brooklyn Center, MN 55430-2123 | 2006-07-04 |
| 1578517173 | Susan D Hembroff | Psychologist | 5910 Shingle Creek Pkwy, Brooklyn Center, MN 55430-2322 | 2006-05-19 |
| 1730365511 | Jeanette Mildred Balfe-groh | Psychologist | 6860 Shingle Creek Pkwy, Suite 116, Brooklyn Center, MN 55430-1411 | 2008-01-11 |
| 1184767675 | Bruce Lee Bakke | Psychologist | 3300 County Road 10, Suite 500, Brooklyn Center, MN 55429-3072 | 2007-02-14 |
| 1861534638 | Michael S Kearney | Psychologist | 3300 County Road 10, Brooklyn Center, MN 55429-3072 | 2007-02-12 |
| 1750458899 | Rochelle J Brandl | Psychologist | 6120 Earle Brown Dr, Suite 520, Brooklyn Center, MN 55430-2123 | 2006-11-30 |
| 1760587893 | Rosemary O'brien | Psychologist | 6860 Shingle Creek Pkwy, Suite 116, Brooklyn Center, MN 55430-1411 | 2006-09-13 |
| Find all providers in BROOKLYN CENTER | ||||
| City | BROOKLYN CENTER |
| Zip Code | 55430 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.