Brooke Corneli Van Oosbree, PSY D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY27730 Issued in CA

Practice address

3900 Broadway
Dept of Psychiatry
Oakland, CA 94611

Phone

(510) 752-1075

NPI assigned

May 31, 2007

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

Other names 1

• Brooke Anne Corneli Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1639371933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W. MACARTHUR BLVD",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94611",
            "telephone_number": "510-752-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 BROADWAY",
            "address_2": "DEPT OF PSYCHIATRY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94611",
            "telephone_number": "510-752-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN OOSBREE",
        "first_name": "BROOKE",
        "middle_name": "CORNELI",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "CORNELI",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Priscilla Michelle Van Dyke, PHARM.D.
• Amy Van Heerde
• Britt Van Hees, DPT
• Cindy Van Lare, NBC-HWC
• David John Van Leeuwen, M.D.
• Marisa Van Patten
• Stephanie Van Sprakelaar
• Cynthia Van Teyens, RN, CDCES
• Megan Kay Van Vlack, LMFT, LPCC
• Lani Espe Van Vleit, OTR/L

• Clinical Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.