Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Supavan K Brown, PHD

Individual provider Counseling Psychologist · NPI 1124391388

Dr. Supavan K Brown, PHD is a Clinical Psychologist in Lees Summit, Missouri. Qualified in 2009, 17 years ago. Practices with Truman Medical Center Incorporated, a 242-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
17
Licensed in
MO
In the registry since
2012
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

300 SE 2nd St Ste 100
Lees Summit, MO 64063-2759
Phone: (816) 404-6189
Fax: (816) 525-2251
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 2011038966 (MO)

Record details

NPI number1124391388
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedFebruary 20, 2012
Last updated in NPPESFebruary 20, 2012
Mailing address300 Se 2nd St, Suite 100, Lees Summit, MO 64063-2759

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Truman Medical Center Incorporated — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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