Donald Lynn Brookshire, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P1743 Issued in TN

Practice address

325 Market St
Suite 305-B
Chattanooga, TN 37402-1226

Phone

(423) 778-9455

Fax

(423) 702-5344

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1255469151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MARKET ST",
            "address_2": "SUITE 305-B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374021226",
            "telephone_number": "423-778-9455",
            "fax_number": "423-702-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MARKET ST",
            "address_2": "SUITE 305-B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374021226",
            "telephone_number": "423-778-9455",
            "fax_number": "423-702-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKSHIRE",
        "first_name": "DONALD",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P1743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD TN",
            "identifier": "3083630",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515839",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00746853A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa M Brooks, APRN-BC
• Michael Tyler Brooks, MS, LAT, ATC
• Peggy Sue Brooks, M.D.
• Salida Guinn Brooks, LPC
• Thomas J Brooks, MD
• James H Broom, MD
• Meredith H Broome, CRNA
• Scott Broschay, CRNA
• Douglas Matthew Brothers, MA
• Frances Browder, DO

• Clinical Psychologist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.