Branches of Hope

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BRANCHES OF HOPE

Practice address

1200 S Church St Ste 20
Mount Laurel, NJ 08054-2936

Phone

(609) 491-3007

Fax

(609) 853-0221

NPI assigned

May 3, 2021

Organization subpart

No

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

Authorized official

Name

Tieshau Middlebrooks, NPNPI 1063583375

Title

Nurse Practitioner/Owner

Phone

(609) 491-3007

Specialties & licenses 1

Addresses

Practitioners 1

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

• Tieshau Middlebrooks, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Laurel, NJ
  • NPI 1063583375
  NPD Authorized official

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1285217604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S CHURCH ST STE 20",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542936",
            "telephone_number": "609-491-3007",
            "fax_number": "609-853-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S CHURCH ST STE 20",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542936",
            "telephone_number": "609-491-3007",
            "fax_number": "609-853-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCHES OF HOPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "MIDDLEBROOKS",
        "authorized_official_first_name": "TIESHAU",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "609-491-3007",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Legath Bowers, MD
• Lester Bowie, M.D.
• Debra Boyd, RN
• Braden Partners LP
• Bradley J Convissar DMD PA
• Warren I Brandwine, D.O.
• Emily D Brassard, LCSW
• Joshua G Bravo
• Breg, Inc.
• Allan Stuart Brenner, D.D.S.

• Psychiatry Physician in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.