NPIMap

Organization Active NPI

Brooks Behavioral LLC

  • Community/Behavioral Health Agency
  • Gainesville, FL
National Provider Identifier
1114695210
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BROOKS BEHAVIORAL LLC
Practice address
1135 NW 23Rd Ave
Gainesville, FL 32609-5415
Phone
(386) 454-0660
Fax
(352) 240-3919
NPI assigned
Sep 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Natalie Moore, LMHC
Title
Clinical Director
Phone
(386) 454-0660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1135 NW 23Rd Ave
Gainesville, FL 32609-5415

Mailing address

520 SW Atlas Dr
Fort White, FL 32038-2430
Phone (135) 233-9584

National Provider Directory

National Provider Directory

Locations

1135 NW 23rd Ave
Gainesville, FL 32609
Phone (352) 339-5848

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1114695210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SW ATLAS DR",
            "city": "FORT WHITE",
            "state": "FL",
            "postal_code": "320382430",
            "telephone_number": "135-233-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 NW 23RD AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326095415",
            "telephone_number": "386-454-0660",
            "fax_number": "352-240-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS BEHAVIORAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "386-454-0660",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.