Brooke Greyhart, PHD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

11240 Issued in MA

Practice address

53 E Patrick St
Frederick, MD 21701-5673

Phone

(240) 397-9722

NPI assigned

Jul 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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 and National Provider Directory roles.

• Converging Waters, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Franklin, MA
  • NPI 1467072991
  NPD

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1578116158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 E PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015673",
            "telephone_number": "240-397-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 E PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015673",
            "telephone_number": "240-397-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREYHART",
        "first_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "PHD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60915310",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Paul Kracher, OD,LLC
• Gregory W Weakley DDS PA
• Karen Gregory, FNP-C
• Joanna Nicole Greisler, CRNP
• Marina Grekova, RPH
• Aujah Griffin, LMSW
• Caitlin Nicole Griffin, DPT
• Joel Griffith, PMHNP-BC
• Kendall Griffith
• Catherine Durrett Griffiths, LCSW-C

• Clinical Psychologist in Frederick, MD
• Providers in Frederick, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.