Thomas Brooks, EDD

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

35S100413400 Issued in NJ

Practice address

280 Norwood Ave
West Long Branch, NJ 07764-1879

Phone

(732) 222-1100

Fax

(732) 222-1103

NPI assigned

Aug 10, 2016

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1982158721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 WINDING WAY RD",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841820",
            "telephone_number": "856-434-0145",
            "fax_number": "732-222-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 NORWOOD AVE",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641879",
            "telephone_number": "732-222-1100",
            "fax_number": "732-222-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "THOMAS",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NJ",
            "license": "35S100413400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Elizabeth Bordiuk, ATC
• Louise Juliette Bosmans, NP-C
• Aaron Bottinick, M.ED., ATC
• Maria A Bristol, RN, BSN, IBCLC
• Laura B. Brooks, MSN, FNP-C
• Cynthia Joyce Burden-Wells, M.A.C.C.C.
• Eric N Burkett, M.D.
• Jenalyn Canullas
• Robert L Carracino, M.D.
• Thomas Carroll

• All providers in West Long Branch, NJ
• Cognitive & Behavioral Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.