David M Brooks PHD PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 20877 Issued in CA

Legal business name

DAVID M BROOKS PHD PA

Practice address

8060 Melrose Ave
Ste 215
Los Angeles, CA 90046-7017

Phone

(310) 498-0555

Fax

(323) 951-0940

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Micheal Brooks, PHDNPI 1174503403

Title

Owner/President

Phone

(310) 498-0555

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Michael Brooks, PH.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1174503403
  NPD (past) Authorized official

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063447662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 MELROSE AVE",
            "address_2": "STE 215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900467017",
            "telephone_number": "310-498-0555",
            "fax_number": "323-951-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 MELROSE AVE",
            "address_2": "STE 215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900467017",
            "telephone_number": "310-498-0555",
            "fax_number": "323-951-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M BROOKS PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHEAL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "310-498-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 7003",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 20877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.