Roswitha M Brooks, PHD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT 26051 Issued in CA

Practice address

1173 N Dixie Dr Ste 101
San Dimas, CA 91773-1200

Phone

(909) 599-8189

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033295670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5332 GAYMORE CIR",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917501007",
            "telephone_number": "909-596-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 N DIXIE DR STE 101",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731200",
            "telephone_number": "909-599-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ROSWITHA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 26051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kelly Lynn Brooks
• Jenifer Elizabeth Brown
• Kyannie Breanne Brown
• Sandra Lee Browne, M.A.
• Danielle Renee Buckland
• Building Blocks Therapy 4 Kids, LLC

• Marriage & Family Therapist in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.