Ellen F. Brooks MD,LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA06484600 Issued in NJ

Legal business name

ELLEN F. BROOKS MD,LLC

Practice address

1000 White Horse Rd Ste 704
Voorhees, NJ 08043-4413

Phone

(856) 770-1555

Fax

(856) 770-9521

NPI assigned

Jan 25, 2010

Last updated

Jan 25, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ellen Freedman Brooks, MD

Title

President

Phone

(856) 770-1555

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1972834380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WHITE HORSE RD STE 704",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434413",
            "telephone_number": "856-770-1555",
            "fax_number": "856-770-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WHITE HORSE RD STE 704",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434413",
            "telephone_number": "856-770-1555",
            "fax_number": "856-770-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN F. BROOKS MD,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "FREEDMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-770-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA06484600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.