Individual provider Active NPI

Patricia Brooks, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Highland Village, TX
National Provider Identifier
1972016400
Registry record updated Jun 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP135748 Issued in TX
Practice address
2820 Village Pkwy Ste 620
Highland Village, TX 75077-3298
Phone
(972) 317-2082
NPI assigned
Nov 7, 2017
Last updated
Jun 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP135748 TX Primary

Addresses

Primary practice location

2820 Village Pkwy Ste 620
Highland Village, TX 75077-3298

Mailing address

1209 Reese Way
Lantana, TX 76226-5560
Phone (940) 594-8822

Other practice location 1

4004 Worth St Ste 300
Dallas, TX 75246-1641
Phone (214) 826-8000

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP135748TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Wealth of NM, LLC CurrentSince Aug 28, 2022 Accepting new patients
Costello Clinic, P.a. Past Accepting new patients

Locations

1221 S Saint Francis Dr
Ste B
Santa Fe, NM 87505
Phone (505) 587-0869

Interoperability endpoints

  • Direct secure messaging: mentalwealth.patriciabrooks@153399.advancedmd-direct.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560038400000",
    "number": "1972016400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 REESE WAY",
            "city": "LANTANA",
            "state": "TX",
            "postal_code": "762265560",
            "telephone_number": "940-594-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 VILLAGE PKWY STE 620",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750773298",
            "telephone_number": "972-317-2082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4004 Worth St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752461641",
            "country_code": "US",
            "telephone_number": "214-826-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "PATRICIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2019-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP135748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Village, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.