Individual provider Active NPI

Brittney Deonte Brooks, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Auburn, AL
National Provider Identifier
1649859018
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-188197 Issued in AL
Practice address
778 N Dean Rd Suite 300
Auburn Psychological Wellness Center
Auburn, AL 36830
Phone
(334) 219-0425
NPI assigned
Apr 5, 2021
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-188197 AL Primary
Registered Nurse 163W00000X RN257381 GA

Addresses

Primary practice location

778 N Dean Rd Suite 300
Auburn Psychological Wellness Center
Auburn, AL 36830

Mailing address

31 Hickory Heights Dr.
Phenix City, AL 36870
Phone (706) 596-4159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241104001945 AL Practitioner - Nurse Practitioner 5698208213 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN257381GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Psychological Wellness Center LLC CurrentSince Sep 17, 2024 Accepting new patients

Locations

778 N Dean Rd
Ste 300
Auburn, AL 36830
Phone (334) 219-0425

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1649859018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HICKORY HEIGHTS DR.",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "36870",
            "telephone_number": "706-596-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 N DEAN RD SUITE 300",
            "address_2": "AUBURN PSYCHOLOGICAL WELLNESS CENTER",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "36830",
            "telephone_number": "334-219-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "BRITTNEY",
        "middle_name": "DEONTE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2023-08-17",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-188197",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN257381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.