SUSAN RACHEL BROWN PH.D.
NPI 1881738284
Psychologist in Davis, CA

Active since February 18, 2007Opted out of Medicare · through Apr 1, 2027
1621 OAK AVE, SUITE B, DAVIS, CA 95616(530) 753-0920(530) 756-0636 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Rachel Brown Ph.d. NPPES

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

SUSAN RACHEL BROWN PH.D. (NPI 1881738284) is an individual psychologist in Davis, California, licensed in California (PSY11944) and active in the NPI registry since February 2007. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1881738284
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSUSAN RACHEL BROWNCredential: PH.D.
Location Address1621 OAK AVE, SUITE BDavis, CA 95616-1000
Mailing Address3204 Shelter Cove AveDavis, CA 95616-2628 · (530) 753-9016 · Fax (530) 765-6507
Fax(530) 756-0636
Sole ProprietorYes
Enumeration DateFebruary 18, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1881738284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY11944
Definition
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.
1621 OAK AVE, Davis, CA 95616

Other Identifiers 2

Medicare ID-Type UnspecifiedOPL119440CA · Medicare Provider#
Other680311681CA · Tin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Susan Rachel Brown Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 8

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

Dentist (General Practice)
1621 OAK AVE, SUITE A
DAVIS, CA 95616
Counselor (Mental Health)
1621 OAK AVE, SUITE B
DAVIS, CA 95616
Psychologist (Clinical)
1621 OAK AVE
DAVIS, CA 95616
Psychologist (Group Psychotherapy)
1621 OAK AVE, STE B
DAVIS, CA 95616
Dentist (General Practice)
1621 OAK AVE, SUITE A
DAVIS, CA 95616
Marriage & Family Therapist
1621 OAK AVE, SUITE B
DAVIS, CA 95616
Psychologist (Clinical)
1621 OAK AVE, SUITE B
DAVIS, CA 95616
Psychologist (Clinical)
1621 OAK AVE, SUITE B
DAVIS, CA 95616

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 Susan Brown's NPI number?

The NPI number for Susan Brown is 1881738284. It was assigned to this individual provider in the NPPES registry on February 18, 2007.

Where is Susan Brown located?

Susan Brown practices at 1621 Oak Ave Suite B, Davis, CA 95616. The listed phone number is (530) 753-0920.

What is Susan Brown's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Susan Brown enrolled in Medicare?

No. Susan Brown has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Susan Brown was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.