Douglas A Brooks, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

00218 Issued in MO

Practice address

2702 Cunningham Ave
Ste a
Joplin, MO 64804-1570

Phone

(417) 782-1910

Fax

(417) 782-1844

NPI assigned

Nov 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornerstone Medical, LLC

  • Internal Medicine Physician
  • Joplin, MO
  • NPI 1104549948
  NPD

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1043201221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 CUNNINGHAM AVE",
            "address_2": "STE A",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041570",
            "telephone_number": "417-782-1910",
            "fax_number": "417-782-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 CUNNINGHAM AVE",
            "address_2": "STE A",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041570",
            "telephone_number": "417-782-1910",
            "fax_number": "417-782-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "DOUGLAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "00218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493312300",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100240090B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Lea Brinkley, NNP
• Jessica Brinkley, CCC-SLP
• Ashley Nicole Broce
• Morgan Shalea Brodie, NP
• Leah Brooke, RDN
• Keelin Brooks, RBT
• Lindsey Katherine Brooks, PSY.D.
• Brothers Taylor & Bezold Inc
• Dalton Brothers, OD
• Daniel J Brothers, O.D.

• All providers in Joplin, MO
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.