Active NPI
Deanne A Brooks, SSP
- School Psychologist
- Nauvoo, IL
National Provider Identifier
1164035846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 317750
- Practice address
- 2461 N State Highway 96
Nauvoo, IL 62354-2200 - Phone
- (217) 453-2231
- NPI assigned
- Aug 24, 2020
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 317750 | IL | Primary |
Addresses
Primary practice location
2461 N State Highway 96
Nauvoo, IL 62354-2200
Mailing address
2421 E County Road 1800 N
Carthage, IL 62321-3102
Phone (217) 357-4900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | brooksd@nauvoo-colusa.com | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 317750 | IL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1164035846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 E COUNTY ROAD 1800 N",
"city": "CARTHAGE",
"state": "IL",
"postal_code": "623213102",
"telephone_number": "217-357-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2461 N STATE HIGHWAY 96",
"city": "NAUVOO",
"state": "IL",
"postal_code": "623542200",
"telephone_number": "217-453-2231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "DEANNE",
"middle_name": "A",
"credential": "SSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-24",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IL",
"license": "317750",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "brooksd@nauvoo-colusa.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2461 N State Highway 96",
"city": "Nauvoo",
"state": "IL",
"country_code": "US",
"postal_code": "623542200",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Nauvoo, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.