Cynthia Ann Brooks

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

86672 Issued in CA

Practice address

27285 Las Ramblas Ste 232
Mission Viejo, CA 92691-8519

Phone

(949) 697-9226

NPI assigned

Jan 18, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1770057176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 W AVENIDA SAN ANTONIO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724354",
            "telephone_number": "949-697-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27285 LAS RAMBLAS STE 232",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918519",
            "telephone_number": "949-697-9226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54240 Ridge View Dr.",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Idyllwild",
            "state": "CA",
            "postal_code": "92549",
            "country_code": "US",
            "telephone_number": "949-697-9226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "86672",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauryn Michelle Brink, NP
• Bristol Park Medical Group, Inc
• Bristol Park Medical Group, Inc.
• Andrea L Brokaw, M.A.
• Jennifer Bromberg
• Carol J Brown, BSN, RN, PHN, CPHON
• Haze Brown
• Jennifer McCrea-Steele Brown, LCSW
• Judson P Brown, OT
• Kai Sebastian Brown, PT

• Marriage & Family Therapist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Marriage & Family Therapist in California

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