Individual provider Active NPI

Leatrice Renee Brooks, PH.D.

  • Clinical Psychologist
  • Kalamazoo, MI
National Provider Identifier
1245516970
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301015072 Issued in MI
Practice address
1803 Whites Rd Ste 4
Kalamazoo, MI 49008-2883
Phone
(866) 232-5389
NPI assigned
Oct 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301015072 MI Primary
Counseling Psychologist 103TC1900X 6301015072 MI

Addresses

Primary practice location

1803 Whites Rd Ste 4
Kalamazoo, MI 49008-2883

Mailing address

5016 Coopers Landing Dr Apt 3D
Kalamazoo, MI 49004-7650
Phone (866) 232-5389

Other practice location 1

5016 Coopers Landing Dr
Apt 3D
Kalamazoo, MI 49004-7647
Phone (866) 232-5389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150629000341 MI Practitioner - Clinical Psychologist 8224349907 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

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": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1245516970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 COOPERS LANDING DR APT 3D",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490047650",
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5016 Coopers Landing Dr",
            "address_2": "Apt 3D",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490047647",
            "country_code": "US",
            "telephone_number": "866-232-5389",
            "fax_number": "866-938-3746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "LEATRICE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301015072",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301015072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.