Dr. Jeannie S. Brooks, PSYD, P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7961 Issued in FL

Legal business name

DR. JEANNIE S. BROOKS, PSYD, P.A.

Practice address

1850 Homewood Blvd Apt 217
Delray Beach, FL 33445-6894

Phone

(954) 854-6145

NPI assigned

Sep 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jeannie Shayna Brooks, PSYDNPI 1366648370

Title

Officer/Director

Phone

(954) 854-6145

Specialties & licenses 2

Addresses

Practitioners 1

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

• Jeannie Shayna Brooks, PSYD

  • Clinical Psychologist
  • Delray Beach, FL
  • NPI 1366648370
  NPD (past) Authorized official

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1265834980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 HOMEWOOD BLVD APT 217",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456894",
            "telephone_number": "954-854-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 HOMEWOOD BLVD APT 217",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456894",
            "telephone_number": "954-854-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JEANNIE S. BROOKS, PSYD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_middle_name": "SHAYNA",
        "authorized_official_title_or_position": "OFFICER/DIRECTOR",
        "authorized_official_telephone_number": "954-854-6145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7961",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "FL",
            "license": "PY7961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.