Active NPIIndividual provider

Dr. Mackenzie Brown, PSYD

Psychologist in Lafayette, Colorado

NPI Number1073027066
Practice location
792 S Bermont Ave, Lafayette, CO 80026-1519
Fax
—
Last updated
December 2, 2022

Mackenzie Brown is a Psychologist based in Lafayette, CO. Mackenzie Brown practices in Lafayette, CO and has the professional credentials of PSYD. The NPI Number for Mackenzie Brown is 1073027066 and holds a License No. 0005213 (CO). The current practice location address for Mackenzie Brown is 792 S Bermont Ave, Lafayette, CO 80026-1519 and can be reached out via phone at 732-567-6544.

Provider Profile Details

NPI Number
1073027066
Provider Name
Mackenzie Brown
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
792 S Bermont Ave, Lafayette, CO 80026-1519
Phone Number
732-567-6544
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
No
Provider Enumeration Date
November 29, 2017
Last Update Date
December 2, 2022
Certification Date
March 16, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
792 S Bermont Ave
Lafayette, CO 80026-1519
Zip
80026-1519
Phone Number
732-567-6544
Lafayette, CO 80026Get directions →

Provider Business Mailing Address Details

Address
792 S Bermont Ave
Lafayette, CO 80026-1519
City
Lafayette
State
CO
Zip
80026-1519
Phone Number
732-567-6544

License Information

License Number (1)
0005213
License State (1)
CO
Taxonomy (1)
Psychologist, Exercise & Sports · 103TE1100X
License Number (2)
0005213
License State (2)
CO
Taxonomy (2)
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mackenzie Brown, PSYD?

The NPI number of Dr. Mackenzie Brown, PSYD is 1073027066. It was assigned on November 29, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Mackenzie Brown, PSYD?

Dr. Mackenzie Brown, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in CO under license number 0005213.

Where does Dr. Mackenzie Brown, PSYD practice?

The practice location is 792 S Bermont Ave, Lafayette, CO 80026-1519. The office can be reached at 732-567-6544 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073027066 directly on the NPPES registry website.

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