Active NPI
Loren A. Brooks, PH.D.
- Psychologist
- Brookline, MA
National Provider Identifier
1154379758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 8571
- Practice address
- 1330 Beacon St
Suite 345
Brookline, MA 02446-3282 - Phone
- (617) 731-0500
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY12230 | CA | |
| Psychologist | 103T00000X | 8571 | MA | Primary |
Addresses
Primary practice location
1330 Beacon St
Suite 345
Brookline, MA 02446-3282
Mailing address
730 Main Street
1B
Millis, MA 02054
Phone (508) 376-4700
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8571 | MA | MD | Professional Counselor |
| PSY12230 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404864000000",
"number": "1154379758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 MAIN STREET",
"address_2": "1B",
"city": "MILLIS",
"state": "MA",
"postal_code": "02054",
"telephone_number": "508-376-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 BEACON ST",
"address_2": "SUITE 345",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463282",
"telephone_number": "617-731-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "LOREN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2014-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY12230",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "8571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.