Brooke Kraushaar,Psy.D,LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2007003961 Issued in MO

Legal business name

BROOKE KRAUSHAAR,PSY.D,LLC

Practice address

6321 Alamo Ave
Saint Louis, MO 63105-3103

Phone

(314) 210-2001

NPI assigned

Sep 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Brooke E Kraushaar, PSY.D.

Title

President

Phone

(314) 210-2001

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1104176064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9890 CLAYTON RD",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241685",
            "telephone_number": "314-210-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 ALAMO AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053103",
            "telephone_number": "314-210-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE KRAUSHAAR,PSY.D,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "KRAUSHAAR",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-210-2001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2007003961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477685477",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Joseph Bronder Jr., D.C.
• Dayna Evans Bronson, ANP
• Sarah Elizabeth Brook
• Brookdale Living Communities of Missouri-CC, LLC
• Brooke Justis Counseling, LLC
• Robert W Brooker, MD
• Albert Dennis Brooks, MD
• Allison Machele Brooks, OTR/L
• Amie D Brooks, PHARM.D.
• Ashton Jean Brooks, MD

• Clinical Psychologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.