Supavan K. Brown, PH.D.
NPI 1124391388ActiveIndividual· Psychologist, Counseling· Lees Summit, MO
Psychologist, Counseling (PH.D.) with Truman Medical Center Incorporated, practicing in Lees Summit, Missouri. Medicare paid $7,002 for services to 19 patients in 2024. Lists University Health Lakewood Medical Center as a hospital affiliation.
Overview
| NPI | 1124391388 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Feb 20, 2012 |
| Last updated in NPPES | Feb 20, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 2011038966 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 19 |
|---|---|
| Services billed | 147 across 5 procedure codes |
| Paid by Medicare | $7,002 |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Truman Medical Center IncorporatedKansas City, MO · 236 clinicians
Hospital affiliation
- University Health Lakewood Medical CenterKansas City, MO
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