Dale A Brounstein, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

292 Issued in OR

Practice address

8196 SW Hall Blvd Ste 102a
Beaverton, OR 97008-4676

Phone

(503) 639-2300

Fax

(503) 968-1800

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1558496836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8196 SW HALL BLVD STE 209",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086411",
            "telephone_number": "503-639-2300",
            "fax_number": "503-968-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8196 SW HALL BLVD STE 102A",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970084676",
            "telephone_number": "503-639-2300",
            "fax_number": "503-968-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUNSTEIN",
        "first_name": "DALE",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "466",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AENTA",
            "identifier": "4100374",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "164986",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avery Aaron Brockberg, OTD, OTR/L
• Brookdale Senior Living Communities, Inc. (Brookdale Beaverton)
• Mary Elizabeth Brooks-Verschingel, LMT
• Anita Gail Brooks, DC CCSP LMT
• Karen Renee Brooks
• Susan Marie Moore Browder, MPH, OTR
• Austin Brown
• Colin Brown
• Daphne Lynn Brown, PTA
• Devn Tyler Brown, DPT

• Psychologist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.