Dennis Brooks

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

BH5143 Issued in AZ

Practice address

43284 W Arizona Ave
Maricopa, AZ 85138-8236

Phone

(470) 302-2964

NPI assigned

Oct 23, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kidz Rule Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Maricopa, AZ
  • NPI 1538008040
  NPD Authorized official

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1184223802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W CHANDLER BLVD STE 15-358",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246217",
            "telephone_number": "470-302-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43284 W ARIZONA AVE",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851388236",
            "telephone_number": "470-302-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "DENNIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "BH5143",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AZ",
            "license": "BH5143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Bradley
• Colleen Braun, DPT
• Brimhall Pharmacy Solutions LLC
• Devin Brimhall, PHARM D
• Alyssa Taylor Brooks, PT, DPT
• Terri Lynne Brown, RN
• Christeen Bryant, LMT
• John Elwin Buckwalter, FNP-BC
• Anna Marie Burke, FNP-C
• Taja Burks

• Psychiatric Residential Treatment Facility in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Psychiatric Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.