Brooktree Columbia MD LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

BROOKTREE COLUMBIA MD LLC

Doing business as

Brooktree Health Services

Practice address

10005-10015 Old Columbia Rd
Suite F-100
Columbia, MD 21046

Phone

(732) 903-1964

NPI assigned

Apr 9, 2015

Last updated

Apr 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hirsch Chinn

Title

Coo

Phone

(412) 512-7306

Specialties & licenses 1

Addresses

Other names 1

• Brooktree Health Services Doing business as

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1811383532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1030",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "08723",
            "telephone_number": "732-903-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10005-10015 OLD COLUMBIA RD",
            "address_2": "SUITE F-100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21046",
            "telephone_number": "732-903-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKTREE COLUMBIA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "CHINN",
        "authorized_official_first_name": "HIRSCH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "412-512-7306"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooktree Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Alexander Brooks
• Karen Brooks, M.D.
• Katy Brooks
• Marilyn Louise Brooks, MSW
• Sarelm Brooks
• Joshua Gary Bross, DC, MS, CSCS
• Joan Brown-Smith, C.R.N.A.
• Alilyonna Nicole Brown
• Alyssa Brown
• Asha Brown, LCSW-C

• Substance Use Disorder Rehabilitation Clinic/Center in Columbia, MD
• Providers in Columbia, MD by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.