Provider Demographics
NPI: | 1275650780 |
---|---|
Name: | BROWNE, THOMAS GERARD (PH D) |
Entity type: | Individual |
Prefix: | DR |
First Name: | THOMAS |
Middle Name: | GERARD |
Last Name: | BROWNE |
Suffix: | |
Gender: | M |
Credentials: | PH D |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 80 ORA WAY |
Mailing Address - Street 2: | G304 |
Mailing Address - City: | SAN FRANCISCO |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 94131-2562 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 415-401-0777 |
Mailing Address - Fax: | 415-401-0777 |
Practice Address - Street 1: | 425 MARKET ST |
Practice Address - Street 2: | SUITE 2209 |
Practice Address - City: | SAN FRANCISCO |
Practice Address - State: | CA |
Practice Address - Zip Code: | 94105-2532 |
Practice Address - Country: | US |
Practice Address - Phone: | 415-401-0777 |
Practice Address - Fax: | 415-401-0777 |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2007-03-22 |
Last Update Date: | 2016-07-13 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CA | PSY24087 | 103TC1900X, 103TH0004X, 103TR0400X, 103TF0200X, 103G00000X, 103TC0700X, 103K00000X, 103TC2200X, 103TB0200X, 103TP0814X, 103TP2701X |
CA | PSY24097 | 103TF0000X, 103TA0400X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | |
No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling |
No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family |
No | 103TH0004X | Behavioral Health & Social Service Providers | Psychologist | Health |
No | 103TR0400X | Behavioral Health & Social Service Providers | Psychologist | Rehabilitation |
No | 103TF0200X | Behavioral Health & Social Service Providers | Psychologist | Forensic |
No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | |
No | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | Addiction (Substance Use Disorder) |
No | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent |
No | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | Cognitive & Behavioral |
No | 103TP0814X | Behavioral Health & Social Service Providers | Psychologist | Psychoanalysis |
No | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy |