WALTER BROWN, PH.D., A PSYCHOLOGICAL CORPORATION
NPI 1154646271
Psychologist - Clinical in Culver City, CA

Active since March 31, 2010
5800 HANNUM AVE., SUITE 100, CULVER CITY, CA 90230(310) 410-9504(310) 410-9507 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 5, 2023, Nov 9, 2022, Apr 5, 2019 (3 updates tracked since 2019).

About Walter Brown, Ph.d., A Psychological Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALTER BROWN, PH.D., A PSYCHOLOGICAL CORPORATION (NPI 1154646271) is a healthcare organization registered as a clinical in Culver City, California and active in the NPI registry since March 2010. The organization maintains a secondary practice location in West Covina and lists Walter Brown, President And Owner, as its authorized official.

NPPES Registry Identity

NPI1154646271
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameWALTER BROWN, PH.D., A PSYCHOLOGICAL CORPORATION
Location Address5800 HANNUM AVE., SUITE 100Culver City, CA 90230-6553
Mailing Address5800 Hannum Ave., Suite 100Culver City, CA 90230-6553 · (310) 410-9504 · Fax (310) 410-9507
Fax(310) 410-9507
Organization SubpartNo
Authorized OfficialWalter BrownPresident And Owner · (310) 410-9504
Enumeration DateMarch 31, 2010
Last NPPES UpdateDecember 5, 20233 updates tracked since enumeration
NPPES CertifiedDecember 5, 2023
✔ NPI 1154646271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY19358
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
5800 HANNUM AVE., Culver City, CA 90230

Secondary Practice Location 1

Location 11000 Lakes Dr Ste 160West Covina, CA 91790-2928 · Phone (310) 410-9504 · Fax (310) 410-9507

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Walter Brown, Ph.d., A Psychological Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20110708000483Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Walter Brown, Ph.D., A Psychological Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1477658680
5800 HANNUM AVE. STE 100
Culver City, CA 90230
(310) 410-9504
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walter Brown, Ph.D., A Psychological Corporation's NPI number?

The NPI number for Walter Brown, Ph.D., A Psychological Corporation is 1154646271. It was assigned to this organization in the NPPES registry on March 31, 2010.

Where is Walter Brown, Ph.D., A Psychological Corporation located?

Walter Brown, Ph.D., A Psychological Corporation is located at 5800 Hannum Ave. Suite 100, Culver City, CA 90230. The listed phone number is (310) 410-9504.

What is Walter Brown, Ph.D., A Psychological Corporation's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Walter Brown, Ph.D., A Psychological Corporation enrolled in Medicare?

Yes. Walter Brown, Ph.D., A Psychological Corporation is registered in the Medicare PECOS enrollment system.

When is Walter Brown, Ph.D., A Psychological Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Walter Brown, Ph.D., A Psychological Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Walter Brown, Ph.D., A Psychological Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Walter Brown, Ph.D., A Psychological Corporation was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.