Robin J. Brooksby Jr., PH.D. LP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PY60506224 Issued in WA

Practice address

15406 Meridian E Ste 208
Puyallup, WA 98375-9504

Phone

(253) 778-6529

NPI assigned

Dec 5, 2014

Last updated

Dec 18, 2014By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Brooksby & Associates PLLC

  dba The Psych Spot

  • Community/Behavioral Health Agency
  • Puyallup, WA
  • NPI 1235580804
  Authorized official Same address or phone
• The Psych Spot

  • Community/Behavioral Health Agency
  • Puyallup, WA
  • NPI 1952852972
  NPD (past) Authorized official

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1699173708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15406 MERIDIAN E STE 208",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983759504",
            "telephone_number": "253-778-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15406 MERIDIAN E STE 208",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983759504",
            "telephone_number": "253-778-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKSBY",
        "first_name": "ROBIN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D. LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "PY60506224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Perry Brook, M.D.
• Brookdale Senior Living Communities, Inc. (Clare Bridge of Puyallup)
• Amanda Diane Brookhaus
• Briana Janay Brooks
• Brooksby & Associates PLLC (The Psych Spot)
• Broughton Dunn PLLC
• Broughton Dunn PLLC (Light Dental Studios)
• Steven Scott Broughton, DDS PS
• Michael Brouillette, ED.D, LMHC, CHT
• Adrian Joann Brown, DNP, FNP, ARNP

• Counseling Psychologist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Counseling Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.