MR. WALTER BROWN (PH.D.) – Psychologist, NPI 1477658680

MR. WALTER BROWN (PH.D.) is a healthcare provider. based in Culver city, California. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PSY 19358 (CA). The NPI Number for MR. WALTER BROWN (PH.D.) is 1477658680

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
MR. WALTER BROWN (PH.D.)
NPI
1477658680
Phone
(310) 410-9504
Address
5800 HANNUM AVE
Enumeration Date
13 September 2006
Last Update Date
13 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3104109504111
Graduation Year
1995 (31 years ago)
PAC ID
0345276804
Professional Enrollment ID
I20050715000374
Address ID
CA902306553CU5800XAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:19State licenses:2Digital endpointsOther names

4,434 CLINICAL PSYCHOLOGIST in CA

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Provider Addresses for MR. WALTER BROWN (PH.D.)

  • 5800, Hannum Avenue, Fox Hills, Culver City, Los Angeles County, California, 90230, United States

    STE 105

    CULVER CITY, CA 902306553

    Phone: (310) 410-9504

    Fax: (424) 732-3989

    Type: Mailing

  • 5701, West Slauson Avenue, Culver City, Los Angeles County, California, 90230, United States

    SUITE 108

    CULVER CITY, CA 902306523

    Phone: (310) 410-9504

    Fax: (310) 410-9507

    Type: Location

  • 5800 HANNUM AVE.

    STE 100

    CULVER CITY, CA 90230

    Phone: (310) 410-9504

    Fax: (310) 410-9507

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050715000374IClinical PsychologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour13812$0
View full utilization report →

Insurance plans in this area (ZIP 90230)

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Reviews

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Frequently asked questions

Can I use this page to confirm MR. WALTER BROWN (PH.D.)'s NPI?
Yes. MR. WALTER BROWN (PH.D.) is listed with NPI 1477658680 in the public NPI dataset.
Does CMS list MR. WALTER BROWN (PH.D.) as active?
Yes — MR. WALTER BROWN (PH.D.) is active in the NPI listing used on this page.
What taxonomy line describes MR. WALTER BROWN (PH.D.)?
For research purposes, treat MR. WALTER BROWN (PH.D.) as Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MR. WALTER BROWN (PH.D.) on a map?
Expect Culver City, California as a primary anchor for MR. WALTER BROWN (PH.D.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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