Pruedence C Brooks, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

33885 Issued in TX

Practice address

2000 S Dairy Ashford Rd Ste 380
Houston, TX 77077-5733

Phone

(281) 741-2210

Fax

(281) 741-9734

NPI assigned

Mar 31, 2009

Last updated

Feb 5, 2024By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pruedence Brooks, PSYD, PLLC

  • Clinical Psychologist
  • Houston, TX
  • NPI 1811290117
  Medicare reassignment NPD Authorized official
• Deer Oaks Mental Health Associates PC

  • Clinical Psychologist
  • Las Cruces, NM
  • NPI 1134175763
  NPD (past)

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1437391836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S DAIRY ASHFORD RD STE 380",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775733",
            "telephone_number": "281-741-2210",
            "fax_number": "281-741-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S DAIRY ASHFORD RD STE 380",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775733",
            "telephone_number": "281-741-2210",
            "fax_number": "281-741-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "PRUEDENCE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-31",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2003766-05",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2003766-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marysue Brooks, M.A., L.P.C.
• Michael Austin Brooks, M.D.
• Natur Brooks, WHNP
• Nicole Lynn Brooks, CNM
• Prianglam Brooks, F.N.P.
• Qiana Brooks
• Sandra Brooks, RN
• Shawn Brooks, DPT
• Stephanie Brooks
• Tara L Brooks, RN

• Clinical Psychologist in Houston, TX
• Providers in Houston, 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 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.