Active NPI
Rebecca Prather Brooks, PH.D.
- Psychologist
- Gulf Breeze, FL
National Provider Identifier
1851387963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY01839
- Practice address
- 2746 Gulf Breeze Pkwy
Suite B
Gulf Breeze, FL 32563-3091 - Phone
- (850) 932-2746
- NPI assigned
- Sep 23, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY01839 | MO | Primary |
| Health Service Psychologist | 103TH0100X | PY8967 | FL |
Addresses
Primary practice location
2746 Gulf Breeze Pkwy
Suite B
Gulf Breeze, FL 32563-3091
Mailing address
2746 Gulf Breeze Pkwy
Suite B
Gulf Breeze, FL 32563-3091
Phone (850) 932-2746
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY01839 | MO | MD | Psychologist |
| PY8967 | FL | MD | Health Service Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445212800000",
"number": "1851387963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2746 GULF BREEZE PKWY",
"address_2": "SUITE B",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325633091",
"telephone_number": "850-932-2746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2746 GULF BREEZE PKWY",
"address_2": "SUITE B",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325633091",
"telephone_number": "850-932-2746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "REBECCA",
"middle_name": "PRATHER",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-23",
"last_updated": "2015-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "PY01839",
"primary": true
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "FL",
"license": "PY8967",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gulf Breeze, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.