Active NPI
Synthia Ileyne Brooks, PHD
- Clinical Psychologist
- Brooklyn, NY
National Provider Identifier
1982970018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 014900-1
- Practice address
- 1123 Avenue Z
Brooklyn, NY 11235-5107 - Phone
- (929) 253-8026
- NPI assigned
- Mar 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 014900-1 | NY | Primary |
Addresses
Primary practice location
1123 Avenue Z
Brooklyn, NY 11235-5107
Mailing address
3858 Nostrand Ave
Suite 102
Brooklyn, NY 11235-2050
Phone (929) 253-8026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120329000684 | NY | Practitioner - Clinical Psychologist | 5799760518 | Practice locations: Brooklyn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- New York University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1123 Ave Z
Brooklyn, NY 11235-5107
Phone (929) 253-8026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014900-1 | NY | MD | Clinical Psychologist |
| 002368 | CT | MD | Speech-Language Pathologist |
| 014900 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1982970018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3858 NOSTRAND AVE",
"address_2": "SUITE 102",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112352050",
"telephone_number": "929-253-8026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1123 AVENUE Z",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355107",
"telephone_number": "929-253-8026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "SYNTHIA",
"middle_name": "ILEYNE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-22",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "014900-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.