Doreen Marie Brubaker, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

25146 Issued in TX

Practice address

3410 Beech Point Dr
Kingwood, TX 77345-1313

Phone

(281) 488-5388

Fax

(800) 819-1655

NPI assigned

Aug 7, 2006

Sex

Female

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 1

Other names 1

• Dr. Doreen Marie Brubaker Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1366451254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 BEECH POINT DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773451313",
            "telephone_number": "281-488-5388",
            "fax_number": "800-819-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 BEECH POINT DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773451313",
            "telephone_number": "281-488-5388",
            "fax_number": "800-819-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "DOREEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "25146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123942805",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOREEN",
            "last_name": "BRUBAKER",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Merlendi Brown, FNP
• Racheal Ann Brown, COTA
• Rachel Suzanne Brown, LCSW
• Raven Danielle Brown
• Emily Brozgal, PMHNP
• Katherine Shea Brubaker, M.ED, LPC, RPT
• Christopher J Bruck, LCSW
• Fleur Helene Bruna, RDH
• Bryan Boyle & Associates, PLLC
• Robin J Bryan, RPH

• Clinical Psychologist in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.