Active NPI
Christina Brooks, PSY.D.
- Clinical Psychologist
- Ijamsville, MD
National Provider Identifier
1104181627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04873
- Practice address
- 3280 Urbana Pike Ste 204
Ijamsville, MD 21754-9406 - Phone
- (240) 549-0052
- NPI assigned
- Jul 10, 2012
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 04873 | MD | Primary |
Addresses
Primary practice location
3280 Urbana Pike Ste 204
Ijamsville, MD 21754-9406
Mailing address
3280 Urbana Pike Ste 204
Ijamsville, MD 21754-9406
Phone (240) 549-0052
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drbrooks@anxietyandbehavioralhealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2017 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04873 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1104181627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3280 URBANA PIKE STE 204",
"city": "IJAMSVILLE",
"state": "MD",
"postal_code": "217549406",
"telephone_number": "240-549-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3280 URBANA PIKE STE 204",
"city": "IJAMSVILLE",
"state": "MD",
"postal_code": "217549406",
"telephone_number": "240-549-0052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "CHRISTINA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-10",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04873",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drbrooks@anxietyandbehavioralhealth.com",
"affiliation": "N",
"endpointDescription": "professional email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3280 Urbana Pike Ste 204",
"city": "Ijamsville",
"state": "MD",
"country_code": "US",
"postal_code": "217549406",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ijamsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.