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GARY BROWN
NPI 1396200424
Psychologist - Intellectual and Developmental Disabilities in Martin, TN

Active since February 02, 2019
302 BROADWAY ST, MARTIN, TN 38237(731) 587-0600(731) 587-0600 Get Directions Write a Review

NPPES record last updated: February 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gary Brown NPPES

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

GARY BROWN (NPI 1396200424), doing business as Children's Treatment Center, is a healthcare organization registered as an intellectual and developmental disabilities in Martin, Tennessee and active in the NPI registry since February 2019. The organization lists Lisa Kay Page, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1396200424
Entity TypeOrganization
Primary Taxonomy103TM1800X
Legal Business NameGARY BROWN
Location Address302 BROADWAY STMartin, TN 38237-2455
Mailing Address302 Broadway StMartin, TN 38237-2455 · (731) 587-0600 · Fax (731) 587-0600
Phone(731) 587-0600
Fax(731) 587-0600
Organization SubpartNo
Authorized OfficialLisa Kay PageCredentialing Manager · (731) 693-3465
Enumeration DateFebruary 2, 2019
✔ NPI 1396200424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers
Taxonomy Code103TM1800X
302 BROADWAY ST, Martin, TN 38237
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Other Names 1

Doing Business AsChildren's Treatment Center

Other Identifiers 1

MedicaidQ032646TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHASNIE THOMPSON M.S.CCC-SLP
Speech-Language Pathologist
302 BROADWAY ST
MARTIN, TN 38237
Weakley County (731) 587-0600
DR. GARY EUGENE BROWN PH.D
Psychologist (Intellectual and Developmental Disabilities)
302 BROADWAY ST
MARTIN, TN 38237
Weakley County (731) 587-0600

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 Gary Brown's NPI number?

The NPI number for Gary Brown is 1396200424. It was assigned to this organization in the NPPES registry on February 2, 2019. The provider is doing business as Children's Treatment Center.

Where is Gary Brown located?

Gary Brown is located at 302 Broadway St, Martin, TN 38237. The listed phone number is (731) 587-0600.

What is Gary Brown's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

When was this NPI record last updated?

The NPPES record for Gary Brown was last updated on February 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.