Brooksby & Associates PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BROOKSBY & ASSOCIATES PLLC

Practice address

15406 Meridian E Ste 103
Puyallup, WA 98375-9504

Phone

(253) 778-6529

Fax

(253) 267-8073

NPI assigned

Jun 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Robin J. Brooksby Jr., PH.D.

Title

Owner/Manager

Phone

(253) 778-6529

Specialties & licenses 1

Addresses

Other names 1

• The Psych Spot Doing business as

Tax ID family

Brooksby Associates PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Psych Spot

  • Community/Behavioral Health Agency
  • Puyallup, WA
  • NPI 1952852972
  NPD tax ID

Locations

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1235580804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15406 MERIDIAN E STE 103",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983759504",
            "telephone_number": "253-778-6529",
            "fax_number": "253-267-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15406 MERIDIAN E STE 103",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983759504",
            "telephone_number": "253-778-6529",
            "fax_number": "253-267-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSBY & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "BROOKSBY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "253-778-6529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Psych Spot",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marianne Theodora Broers, MD
• Christine Therese Broniak, DO
• Michael Perry Brook, M.D.
• Brookdale Senior Living Communities, Inc.
• Amanda Diane Brookhaus
• Robin J. Brooksby Jr., PH.D. LP
• Broughton Dunn PLLC
• Broughton Dunn PLLC
• Steven Scott Broughton, DDS PS
• Michael Brouillette, ED.D, LMHC, CHT

• Community/Behavioral Health Agency in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.