Cindy Brooks, MFT
Individual provider Active NPI Marriage & Family Therapist · Soquel, CA
NPI 1508070137 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508070137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC33496 (CA)
- Practice address
- 3065 Porter Street
Suite 200
Soquel, CA 95073-2231 - Phone
- (831) 464-2972
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 17, 2024 through Feb 17, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC33496 | CA | MD | Marriage & Family Therapist |
| 33496 | CA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC33496 | CA | Yes |
Addresses
Primary practice location
3065 Porter Street
Suite 200
Soquel, CA 95073-2231
Mailing address
3065 Porter Street
Suite 200
Soquel, CA 95073-2231
Phone (831) 464-2972
Other providers in Soquel, CA
- Alyssa Bondi
- Susan M Brandy
- Nancy Lynn Braunhut
- Austen Rose Brenton
- Brian Anthony Chiropractic Inc
- Nareh Valerie Burgren
- Thomas M Burke
- Jenny Silber Butah
- Katherine Emerson Butler
- Lorraine Kay Butterworth
All providers in Soquel, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.