Brookside Academy Business

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

Legal business name

BROOKSIDE ACADEMY BUSINESS

Practice address

29910 Hunter Rd Ste 104
Murrieta, CA 92563-2763

Phone

(951) 304-7777

NPI assigned

Jan 29, 2025

Organization subpart

Yes

Parent organization

JC EQUITY HOLDINGSAs reported in NPPES

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

Authorized official

Name

Jonathan ComerNPI 1770396269

Title

Owner

Phone

(951) 230-6651

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Comer, LPT

  • Licensed Psychiatric Technician
  • Overland Park, KS
  • NPI 1770396269
  NPD Authorized official

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1245043736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 OUTLOOK ST APT 4275",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29910 HUNTER RD STE 104",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632763",
            "telephone_number": "951-304-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSIDE ACADEMY BUSINESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JC EQUITY HOLDINGS",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "COMER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-230-6651"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Psychiatric Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra R Brooks, COTA/L
• Harry Ward Brooks Jr., MD
• Kerry Brooks
• Sonji Brooks
• Sonya Brooks, PMHNP
• Bropal Medical
• Bropal Medical
• Silviann D Broussard, CPT 1
• Susan Ann Broussard, M.A
• Anna Brousseau

• Licensed Psychiatric Technician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.