Active NPI
Beth Ann Brooks, MD
- Psychiatry Physician
- Detroit, MI
National Provider Identifier
1902853609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301035413
- Practice address
- 2751 E Jefferson Ste 400
Upc Jefferson
Detroit, MI 48207 - Phone
- (888) 362-7792
- NPI assigned
- May 28, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301035413 | MI | Primary |
Addresses
Primary practice location
2751 E Jefferson Ste 400
Upc Jefferson
Detroit, MI 48207
Mailing address
1420 Stephenson Hwy
Troy, MI 48083-1189
Phone (888) 362-7792
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 Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335830400000",
"number": "1902853609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 STEPHENSON HWY",
"city": "TROY",
"state": "MI",
"postal_code": "480831189",
"telephone_number": "888-362-7792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 E JEFFERSON STE 400",
"address_2": "UPC JEFFERSON",
"city": "DETROIT",
"state": "MI",
"postal_code": "48207",
"telephone_number": "888-362-7792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "BETH ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-28",
"last_updated": "2012-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301035413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.