Brooke Stephanie Brigham, M.S., PSY.S.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

PP0000001117949 Issued in MI

Practice address

1331 Martin Luther King Jr St SE
Grand Rapids, MI 49506-2634

Phone

(616) 819-2000

NPI assigned

Aug 16, 2023

Last updated

Aug 16, 2023By the provider in NPPES

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

Master of Science

State licenses

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1033992888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 KNOLLWOOD DR",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494018804",
            "telephone_number": "616-298-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 MARTIN LUTHER KING JR ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062634",
            "telephone_number": "616-819-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHAM",
        "first_name": "BROOKE",
        "middle_name": "STEPHANIE",
        "credential": "M.S., PSY.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MI",
            "license": "PP0000001117949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• School Psychologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• School Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.