Individual provider Active NPI

Ryan J. Brooks, LLP

  • Psychologist
  • Farmington Hills, MI
National Provider Identifier
1174970735
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6361007310 Issued in MI
Practice address
30665 Northwestern Hwy Ste 255
Farmington Hills, MI 48334-3144
Phone
(248) 225-1871
Fax
(248) 550-0287
NPI assigned
May 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6361007310 MI Primary

Addresses

Primary practice location

30665 Northwestern Hwy Ste 255
Farmington Hills, MI 48334-3144

Mailing address

30665 Northwestern Hwy Ste 255
Farmington Hills, MI 48334-3144
Phone (248) 225-1871

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ryan@brooks-psychotherapy.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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brooks Psychotherapy PC Psychologist CurrentSince Apr 16, 2024 Accepting new patients

Locations

30665 Northwestern Hwy
Ste 255
Farmington Hills, MI 48334
Phone (248) 225-1871

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1174970735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30665 NORTHWESTERN HWY STE 255",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343144",
            "telephone_number": "248-225-1871",
            "fax_number": "248-550-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30665 NORTHWESTERN HWY STE 255",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343144",
            "telephone_number": "248-225-1871",
            "fax_number": "248-550-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "RYAN",
        "middle_name": "J.",
        "credential": "LLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-24",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361007310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryan@brooks-psychotherapy.com",
            "affiliation": "N",
            "endpointDescription": "secure work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure work email",
            "address_1": "30665 Northwestern Hwy Ste 255",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483343144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.