Brooke Coccia, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004918 Issued in VA

Practice address

1440 N St NW Apt 215
Washington, DC 20005-2815

Phone

(404) 447-6978

NPI assigned

Jan 6, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1992127286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8620 ROLLING RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103828",
            "telephone_number": "703-577-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N ST NW APT 215",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200052815",
            "telephone_number": "404-447-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCCIA",
        "first_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Diva Cobourn
• Sara Coburn, PA-C
• Shayna Coburn, PH.D.
• Louis Eugene Cobuzzi, R.PH., M.S.
• Alfred Coccaro, M.D.
• Erica Amber Cochran, RD,LD
• Schwanna Y Cockerham-Qualls, LPC
• Becky C. Cockerill, MSN
• Kahiau Ryuichi Cockett-Nagamine, MD
• Remi Leigh Coco

• Clinical Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.