Brooke Ruxton PHD LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

071.007643 Issued in IL

Legal business name

BROOKE RUXTON PHD LLC

Practice address

2385 Stoughton Cir
Aurora, IL 60502-6478

Phone

(515) 508-9992

NPI assigned

Sep 5, 2018

Last updated

Sep 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brooke Ruxton, PHDNPI 1902397896

Title

Owner

Phone

(515) 508-9992

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brooke Marie Ruxton, PH.D.

  • Psychologist
  • Aurora, IL
  • NPI 1902397896
  NPD (past) Authorized official

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1518449602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 STOUGHTON CIR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605026478",
            "telephone_number": "515-508-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 STOUGHTON CIR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605026478",
            "telephone_number": "515-508-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE RUXTON PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "RUXTON",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-508-9992",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "071.007643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Socrates Alejandro Brito, M.D.
• Gabrielle Nicole Brockett
• Elaine C Brodemus, LCSW
• Stephanie Lauren Broderick, CNM, WHNP-BC
• Jennifer Lynn Bromeland, APN
• Cristina S Brotea, M.D.
• Brittany Dawn Brower
• Darren Brown
• Deja Damia Brown, RN
• Houston Orlando Brown, D.C.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Aurora, IL
• Providers in Aurora, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.