DR. DORETHA CLARA BROWN-SIMPSON ED. D. NPI 1083153472

NPI Information

NPI: 1083153472
Provider Name: DR. DORETHA CLARA BROWN-SIMPSON, ED. D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address: 22424 144TH AVE
SPRINGFIELD GARDENS, NY
ZIP 11413
Phone: (917) 854-3290

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NPI Details

DR. Doretha Clara Brown-simpson, ED. D. is a specialist in Springfield Gardens, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Doretha Clara Brown-simpson, ED. D. NPI is 1083153472. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

22424 144TH AVE
SPRINGFIELD GARDENS, NY
ZIP 11413-501
Phone: (917) 854-3290
Fax: (718) 341-0005

The enumeration date for this NPI number is 2/17/2017 and was last updated on 2/17/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		195920021	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1016	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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