Individual provider Active NPI

Brooke Picotte, PSY.D.

  • Psychologist
  • Albany, NY
National Provider Identifier
1043658404
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
018551-1 Issued in NY
Practice address
20 Corporate Woods Blvd
Suite 600
Albany, NY 12211-2396
Phone
(917) 921-2602
NPI assigned
Jun 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 018551-1 NY Primary

Addresses

Primary practice location

20 Corporate Woods Blvd
Suite 600
Albany, NY 12211-2396

Mailing address

20 Corporate Woods Blvd
Suite 600
Albany, NY 12211-2396
Phone (917) 921-2602

Other names 1

  • Brooke Picotte Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
018551-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1043658404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CORPORATE WOODS BLVD",
            "address_2": "SUITE 600",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112396",
            "telephone_number": "917-921-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CORPORATE WOODS BLVD",
            "address_2": "SUITE 600",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112396",
            "telephone_number": "917-921-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICOTTE",
        "first_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "018551-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "PICOTTE",
            "credential": "MA., PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.