Active NPI
Brooke Elizabeth Hillary, PH.D.
- Clinical Psychologist
- Deerfield Beach, FL
National Provider Identifier
1861559981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY5665
- Practice address
- 3180 Lake Shore Dr
Deerfield Beach, FL 33442-8460 - Phone
- (561) 212-7680
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY5665 | FL | Primary |
Addresses
Primary practice location
3180 Lake Shore Dr
Deerfield Beach, FL 33442-8460
Mailing address
1065 NE 125TH Street
Suite 409
North Miami, FL 33161-5833
Phone (888) 852-6672
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1861559981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 NE 125TH STREET",
"address_2": "SUITE 409",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331615833",
"telephone_number": "888-852-6672",
"fax_number": "786-235-6225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3180 LAKE SHORE DR",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334428460",
"telephone_number": "561-212-7680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLARY",
"first_name": "BROOKE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY5665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.