Brook of Cherith Psych Consult LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BROOK OF CHERITH PSYCH CONSULT LLC

Practice address

4111 E Valley Auto Dr Ste 201
Mesa, AZ 85206-4609

Phone

(602) 842-3600

NPI assigned

Feb 10, 2023

Organization subpart

No

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

Authorized official

Name

Bamidele Odede

Title

Ceo

Phone

(447) 527-8326

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688774400000",
    "number": "1295432250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21412 S 230TH ST",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851420823",
            "telephone_number": "443-527-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 E VALLEY AUTO DR STE 201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064609",
            "telephone_number": "602-842-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOK OF CHERITH PSYCH CONSULT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-07-08",
        "certification_date": "2023-07-08",
        "status": "A",
        "authorized_official_last_name": "ODEDE",
        "authorized_official_first_name": "BAMIDELE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "447-527-8326"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadine Paige Broekemeier
• Dawn Diane Brokaw, MD
• Stephanie Suzanne Brokaw, PHARMD
• Candy Bromley
• Judy Broner, M.S.CCC-SLP
• Brookdale Senior Living Communities, Inc. (Brookdale East Arbor)
• Noelle Brooke, BA
• Barbara Jean Brooks, N.D.
• Gabriel Peterambrose Brooks, PT, MS
• Jessica Brooks, LAC

• Community/Behavioral Health Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2023; 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.