Brook Clinic Associates, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-001939 Issued in IL

Legal business name

BROOK CLINIC ASSOCIATES, P.C.

Practice address

210 W 22ND St
Suite 118
Oak Brook, IL 60523-1544

Phone

(630) 571-1077

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gerald M. Stein, PH.D.

Title

President

Phone

(630) 571-1077

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roger Stephan Crum, LCPC

  • Addiction (Substance Use Disorder) Counselor
  • Oak Brook, IL
  • NPI 1972510121
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1811065121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W 22ND ST",
            "address_2": "SUITE 118",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231544",
            "telephone_number": "630-571-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W 22ND ST",
            "address_2": "SUITE 118",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231544",
            "telephone_number": "630-571-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOK CLINIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-571-1077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071-001939",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-001939",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": "IL",
            "license": "071-001939",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST REGISTRATION",
            "identifier": "071-001939",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "022-72048-74",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Boyer, BCBA
• Megan M Bradberry, DPT
• Breath of Life Professional Services, NFP, Inc.
• Amy Brink
• Jennifer Broers, LCSW
• Harley C Brooks III, M.D.
• Blair Meredith Brown, PSY.D.
• Latasha Brown
• Shane Bruni
• Joseph C Brutzkus, MD

• Clinical Psychologist in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.