Individual provider Active NPI

Christopher Michael Brooks, PSYD

  • Clinical Psychologist
  • Decatur, GA
National Provider Identifier
1821140237
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY003769 Issued in GA
Practice address
4177 Rainbow Dr
Decatur, GA 30034-2224
Phone
(855) 772-8847
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY003769 GA Primary

Addresses

Primary practice location

4177 Rainbow Dr
Decatur, GA 30034-2224

Mailing address

27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140808001252 GA Practitioner - Clinical Psychologist 5193890143 Reassigns benefits to 3 organizations
Practice locations: Canton, GA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Lifesource of North Carolina CurrentSince Jun 1, 2022 Accepting new patients
Focus Forward Counseling and Consulting, Inc CurrentSince Jun 20, 2018 Accepting new patients
Lifesource of North Carolina CurrentSince Jun 1, 2022 Accepting new patients
Personal Recovery Network LLC CurrentSince Jul 27, 2021 Accepting new patients
Brooks Psychological Services Clinical PastSince May 5, 2014 Accepting new patients

Locations

5975 Parkway North Blvd
Ste 300D
Cumming, GA 30040
Phone (404) 388-3909

1345 Redmond Cir NW
Rome, GA 30165
Phone (706) 234-8281

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

100 Stoneforest Dr
Ste 230
Woodstock, GA 30189
Phone (470) 552-8470

Interoperability endpoints

  • Direct secure messaging: georgiabehavioralhealthprofessionals.christopherbrooks@124220.advancedmd-direct.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1821140237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27777 INKSTER RD STE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4177 RAINBOW DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300342224",
            "telephone_number": "855-772-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.