Organization Active NPI

Brooks Family Therapy Inc.

  • Adult Mental Health Clinic/Center
  • Vacaville, CA
National Provider Identifier
1124842448
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BROOKS FAMILY THERAPY INC.
Practice address
406 Main St Ste L
Vacaville, CA 95688-3916
Phone
(707) 474-8942
Fax
(707) 314-3409
NPI assigned
Nov 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Michael Broooks
Title
Ceo/ President
Phone
(707) 474-8942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

406 Main St Ste L
Vacaville, CA 95688-3916

Mailing address

406 Main St Ste L
Vacaville, CA 95688-3916
Phone (707) 474-8942

National Provider Directory

National Provider Directory

Locations

406 Main St
Ste L
Vacaville, CA 95688
Phone (707) 474-8942

Practitioners & affiliated clinicians

Practitioners 1

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": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1124842448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 MAIN ST STE L",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883916",
            "telephone_number": "707-474-8942",
            "fax_number": "707-314-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 MAIN ST STE L",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883916",
            "telephone_number": "707-474-8942",
            "fax_number": "707-314-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS FAMILY THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "BROOOKS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO/ PRESIDENT",
        "authorized_official_telephone_number": "707-474-8942"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.