Active NPI
Jeremy Brooks, PSYD
- Psychologist
- Newburyport, MA
National Provider Identifier
1821280686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3548
- Practice address
- 173 High St
Newburyport, MA 01950-3961 - Phone
- (978) 273-2498
- NPI assigned
- Aug 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3548 | MA | Primary |
Addresses
Primary practice location
173 High St
Newburyport, MA 01950-3961
Mailing address
95 Parker St
Newburyport, MA 01950-4033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3548 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1821280686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 PARKER ST",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019504033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 HIGH ST",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019503961",
"telephone_number": "978-273-2498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "JEREMY",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-15",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "3548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburyport, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.