Brooke A Jones, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY003516 Issued in GA

Practice address

5975 Parkway North Blvd
Ste 300D
Cumming, GA 30040-1226

Phone

(404) 388-3909

NPI assigned

Nov 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Fresh Start for the Mind, LLCGroup PAC ID 2466681283, 3 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Fresh Start for the Mind, LLC

  • Psychologist
  • Alpharetta, GA
  • NPI 1184966061
  Medicare reassignment Care Compare group NPD Authorized official
• Focus Forward Counseling and Consulting, Inc

  • Professional Counselor
  • Cumming, GA
  • NPI 1912138710
  Medicare reassignment NPD
• 100 Percent Nutrition LLC

  • Health Service Clinic/Center
  • Gainesville, GA
  • NPI 1851909857
  NPD (past)

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320969600000",
    "number": "1619254125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 PARKWAY NORTH BLVD",
            "address_2": "STE 300D",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 PARKWAY NORTH BLVD",
            "address_2": "STE 300D",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401226",
            "telephone_number": "404-388-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BROOKE",
        "middle_name": "A",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-11",
        "last_updated": "2011-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camden Reece Jolly
• Jonathan Woolfson, MD PC (Woolfson Eye Institute)
• Amorette Inez Jones, LMFT, APC, NCC
• Barry Neill Jones, MD
• Brian Kenneth Jones, M.ED
• Cassandra Aileen Jones, MS OTR/L
• Cassie Lorraine Jones, NP-C
• Dontea Jones
• Katherine Lisicia Jones, MED.CCC-SLP
• Kevin Grant Jones, PTA

• Clinical Psychologist in Cumming, GA
• Providers in Cumming, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.