Individual provider Active NPI

Brooke Elizabeth Deboy, PSYD

  • Psychologist
  • Scottsdale, AZ
National Provider Identifier
1316596091
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY-005164 Issued in AZ
Practice address
7047 E Greenway Pkwy Ste 250
Scottsdale, AZ 85254-8113
Phone
(480) 567-9771
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY-005164 AZ Primary

Addresses

Primary practice location

7047 E Greenway Pkwy Ste 250
Scottsdale, AZ 85254-8113

Mailing address

5003 W Pedro LN
Laveen, AZ 85339-4226
Phone (602) 790-5542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20200424002120 AZ Practitioner - Clinical Psychologist 5698105013 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY-005164AZMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Circle the City Current Accepting new patients
Circle the City CurrentSince Feb 16, 2020 Accepting new patients
Grow Healthcare Group PA Psychologist CurrentSince Jan 15, 2024 Accepting new patients
Circle the City CurrentSince Feb 16, 2020 Accepting new patients
Anderson Psychological Associates Past Accepting new patients

Locations

333 W Indian School Rd
Phoenix, AZ 85013
Phone (602) 248-0368

3522 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 776-7676

220 S 12th Ave
Phoenix, AZ 85007
Phone (602) 372-2100

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

3333 E Van Buren St
Phoenix, AZ 85008
Phone (602) 690-0598

210 S 12th Ave
Phoenix, AZ 85007
Phone (602) 254-4282

1125 W Jackson St
Ste 448
Phoenix, AZ 85007

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Interoperability endpoints

  • Direct secure messaging: brooke.deboy.1@11818.direct.athenahealth.com

Organizations & group practices 5

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": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1316596091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 W PEDRO LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853394226",
            "telephone_number": "602-790-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7047 E GREENWAY PKWY STE 250",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852548113",
            "telephone_number": "480-567-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOY",
        "first_name": "BROOKE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "PSY-005164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.