IDALYN BROWN (NPI# 1609818707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609818707 |
| Entity Type | Individual |
| Full Name | IDALYN BROWN |
| Credential | P.H.D. |
| Practice Address |
537 Creek Valley Rd Fisherville KY 40023-8499 |
| Practice Telephone | 5024771261 |
| Practice Fax Number | 5024776084 |
| Mailing Telephone | 5024771261 |
| Mailing Fax Number | 5024776084 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 353 | SC | Behavioral Health & Social Service Providers |
| Street Address |
537 CREEK VALLEY RD |
| City | FISHERVILLE |
| State | KY |
| Zip Code | 40023-8499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568807360 | Elk Creek Animal Hospital | Special Hospital | 57 Commerce Dr, Fisherville, KY 40023-6412 | 2013-05-07 |
| 1912217498 | Sarah S Hatter | Registered Nurse | 164 Jesse Ct, Fisherville, KY 40023-6416 | 2010-10-18 |
| 1790988566 | Aaron Montgomery | Counselor | 124 Brianna Ct, Fisherville, KY 40023-6436 | 2007-06-07 |
| 1285757278 | Jocelyn A Phipps | Dentist | 6287 Taylorsville Rd Bldg 2 Ste A, Elk Creek Office Park, Fisherville, KY 40023-6443 | 2007-04-06 |
| 1912044827 | Bluegrass Medical Service, LLC | Durable Medical Equipment & Medical Supplies | 6287 Taylorsville Rd Bldg 2, Fisherville, KY 40023-6443 | 2007-01-31 |
| 1710060074 | Maria J Hutchens | Case Manager/Care Coordinator | 176 Janes Way, Fisherville, KY 40023-7547 | 2006-10-23 |
| 1457370934 | Eric William Reynolds | Pediatrics | 5706 Bradbe Forest Ln, Fisherville, KY 40023-7715 | 2006-07-18 |
| 1578953881 | Truc Ly Taylor | Counselor | 106 Arlington Meadows Dr, Fisherville, KY 40023-7719 | 2015-01-26 |
| 1316421241 | Julie Ann Korn | Occupational Therapist | 17902 Aaron Creek Way, Fisherville, KY 40023-7774 | 2018-09-17 |
| 1285190009 | Natalie Renfrow | Physical Therapist | 35 Stoneview Ct, Fisherville, KY 40023-8442 | 2019-02-17 |
| Find all providers in zip 40023 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982126660 | Seigler Psychological Services | Clinical Neuropsychologist | 1136 S Park Dr Fl 2, Bowling Green, KY 42103-2446 | 2017-07-13 |
| 1598124661 | Brainworks LLC | Clinical Neuropsychologist | 101 Wind Haven Dr Ste 202a, Nicholasville, KY 40356-8035 | 2016-02-18 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1871899062 | Brenda Carol Parker | Clinical Neuropsychologist | 815 John Harper Rd Unit 13, Pioneer Village, KY 40165-7463 | 2011-02-04 |
| 1437393170 | Bradley Scott Folley | Clinical Neuropsychologist | 4950 Norton Healthcare Blvd Ste 205, Louisville, KY 40241-2847 | 2009-04-24 |
| 1265689475 | Marilyn M. Wagner Ph.d., Psc | Clinical Neuropsychologist | 105a Crescent Ave, Louisville, KY 40206-1525 | 2008-08-20 |
| 1780865907 | Renewed Hope Counseling Center, Pllc | Clinical Neuropsychologist | 212 Hanna Pl, Frankfort, KY 40601-2719 | 2007-11-15 |
| 1619186467 | James Frederick Phifer | Clinical Neuropsychologist | 440 Breckenridge Lane Ste 124, Louisville, KY 40218 | 2007-05-21 |
| 1508916958 | Michael H Cecil | Clinical Neuropsychologist | 13293 Obannon Station Way, Louisville, KY 40223-4188 | 2007-01-10 |
| 1346399318 | Peter Judson Gager | Clinical Neuropsychologist | 3175 Custer Dr Ste 302b, Lexington, KY 40517-4023 | 2007-01-09 |
| Find all providers with the same taxonomy | ||||
| City | FISHERVILLE |
| Zip Code | 40023 |
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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.