Brookie L. Pitcock, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1505 Issued in CO

Practice address

1111 Bonforte Blvd
Pueblo, CO 81001-1801

Phone

(719) 545-5911

NPI assigned

May 6, 2009

Last updated

May 6, 2009By the provider in NPPES

Sex

Male

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

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1811121874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 WARD ROAD",
            "address_2": "SUITE 106",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021829",
            "telephone_number": "877-838-4783",
            "fax_number": "877-345-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BONFORTE BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011801",
            "telephone_number": "719-545-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITCOCK",
        "first_name": "BROOKIE",
        "middle_name": "L.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "1505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Renee Pilger
• Hareesh Pillai, MD
• Tameika C Pillsbury, FNP-BC
• Andrea Pineda, CCC-SLP
• Samantha Pino
• Pitman Place LLC (Westwind Village)
• Pitman Place, LLC (Westwind Village)
• Pitman Place, LLC (Horizon Heights)
• Shaun Michael Pitts, DO
• Lori Pizarro

• Psychologist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.