MR. JEFFREY BROWN (MA LP) – Psychologist, NPI 1730163478

MR. JEFFREY BROWN (MA LP) is a healthcare provider. based in Golden valley, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials MA LP. They hold a License No. LP 2069 (MN). The NPI Number for MR. JEFFREY BROWN (MA LP) is 1730163478

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
MR. JEFFREY BROWN (MA LP)
NPI
1730163478
Phone
(763) 566-0922
Address
1405 LILAC DRIVE N
Enumeration Date
6 December 2005
Last Update Date
12 November 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7637801520
Graduation Year
1982 (44 years ago)
PAC ID
2769835305
Group Practice PAC ID
2264432681
Professional Enrollment ID
I20240130002649
Address ID
MN554335861CO199XXNWXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

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Provider Addresses for MR. JEFFREY BROWN (MA LP)

  • 1405, Lilac Drive North, Golden Valley, Hennepin County, Minnesota, 55422, United States

    STE 130

    GOLDEN VALLEY, MN 554224536

    Phone: (763) 566-0922

    Fax: (763) 503-9194

    Mailing address matches the actual address.

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: 2024-01-30

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
I20240130002649IClinical PsychologistMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55422)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264432681View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Clinical Social WorkerMN
Clinical Social WorkerMN
-MN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

What NPI should I save for MR. JEFFREY BROWN (MA LP)?
Save NPI 1730163478 if you need a stable reference for MR. JEFFREY BROWN (MA LP).
Is MR. JEFFREY BROWN (MA LP) active in the national directory?
MR. JEFFREY BROWN (MA LP)'s public NPI profile is in an active state.
What does MR. JEFFREY BROWN (MA LP) treat or focus on?
Patients typically see MR. JEFFREY BROWN (MA LP) under the specialty Psychologist. Clinical services aligned with this taxonomy classification.
Where does public data place MR. JEFFREY BROWN (MA LP)?
The snapshot lists Golden Valley, Minnesota for MR. JEFFREY BROWN (MA LP); download NPPES for the complete set.
Is MR. JEFFREY BROWN (MA LP) a real provider?
This page reflects official NPPES data for NPI 1730163478. Always confirm identity and privileges with the practice and licensing boards.

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