Active NPI
Brooke Hirsh
- Psychologist
- Petersburg, VA
National Provider Identifier
1073281465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0803000308
- Practice address
- 269 Medical Park Blvd
Petersburg, VA 23805-9337 - Phone
- (804) 861-0700
- NPI assigned
- Sep 1, 2021
- Last updated
- Aug 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0803000308 | VA | Primary |
Addresses
Primary practice location
269 Medical Park Blvd
Petersburg, VA 23805-9337
Mailing address
255 E South Blvd
Petersburg, VA 23805-2700
Other practice location 1
207 N 4th Ave
Hopewell, VA 23860-2503
Phone (804) 541-0918
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Partners PC | Past | Accepting new patients | |
| Three Rivers Treatment Center LLC | Past | Accepting new patients | |
| Virginia South Psychiatric & Family Services | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72142
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- North Chesterfield, VA
- NPI 1093118051
-
dba Three Rivers Treatment Center
- Psychiatric Residential Treatment Facility
- Kenbridge, VA
- NPI 1568827780
-
- Psychiatry Physician
- Petersburg, VA
- NPI 1700894466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787443200000",
"number": "1073281465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 E SOUTH BLVD",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238052700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 MEDICAL PARK BLVD",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238059337",
"telephone_number": "804-861-0700"
}
],
"practiceLocations": [
{
"address_1": "207 N 4th Ave",
"address_purpose": "LOCATION",
"city": "Hopewell",
"state": "VA",
"postal_code": "238602503",
"country_code": "US",
"telephone_number": "804-541-0918",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIRSH",
"first_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2026-08-23",
"certification_date": "2026-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0803000308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.