NPIMap

Organization Active NPI

Chosen, PLLC

  • Community/Behavioral Health Agency
  • Kalamazoo, MI
National Provider Identifier
1194120097
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6301015072 Issued in MI
Legal business name
CHOSEN, PLLC
Practice address
1803 Whites Rd Ste 4
Kalamazoo, MI 49008-2883
Phone
(866) 232-5389
Fax
(866) 938-3746
NPI assigned
Nov 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. Leatrice Renee Brooks, PH.D.NPI 1245516970
Title
Psychologist
Phone
(866) 232-5389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6301015072 MI Primary

Addresses

Primary practice location

1803 Whites Rd Ste 4
Kalamazoo, MI 49008-2883

Mailing address

1803 Whites Rd Ste 4
Kalamazoo, MI 49008-2883
Phone (866) 232-5389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150622002253 MI Part B Supplier - Clinic/Group Practice 5890006571 Receives reassigned benefits from 4 practitioners
Practice locations: Kalamazoo, MI

National Provider Directory

National Provider Directory

Locations

1803 Whites Rd
Ste 4
Kalamazoo, MI 49008
Phone (269) 216-9289

1919 Stearns Ave
Kalamazoo, MI 49008
Phone (269) 224-1545

Practitioners & affiliated clinicians

Practitioners 11

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": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1194120097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 WHITES RD STE 4",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082883",
            "telephone_number": "866-232-5389",
            "fax_number": "866-938-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 WHITES RD STE 4",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082883",
            "telephone_number": "866-232-5389",
            "fax_number": "866-938-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOSEN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "LEATRICE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "866-232-5389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6301015072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.