Brooke Egbert, PSY.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PS016379 Issued in PA

Practice address

270 Pierce St Ste 301
Kingston, PA 18704-5141

Phone

(570) 239-5576

NPI assigned

Jun 7, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1699715110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 PIERCE ST STE 301",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045141",
            "telephone_number": "570-239-5576",
            "fax_number": "570-239-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PIERCE ST STE 301",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045141",
            "telephone_number": "570-239-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBERT",
        "first_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS016379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Jane Dymond
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• Jessica R Eberle, PA-C
• Lynn Eckrote, PA-C
• Joann Ruth Eddy, BH007978
• Andrew Eiffert, MD
• Elevate Chiropractic Wellness Center
• Elizabeth a Joseph, DMD, PC
• Leon Adley Ellman, DPM
• Jeffrey Scott Empfield, OD

• Clinical Child & Adolescent Psychologist in Kingston, PA
• Providers in Kingston, PA by specialty
• Clinical Child & Adolescent Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.