Active NPI
Bernard L Brookes, PHD
- Clinical Psychologist
- Germantown, MD
National Provider Identifier
1992994503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04024
- Practice address
- 20407 Waters Point LN
Germantown, MD 20874-1066 - Phone
- (301) 515-5310
- Fax
- (202) 354-4760
- NPI assigned
- Oct 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 04024 | MD | Primary |
| Clinical Psychologist | 103TC0700X | PSY1000259 | DC | |
| Clinical Psychologist | 103TC0700X | 3531 | MA |
Addresses
Primary practice location
20407 Waters Point LN
Germantown, MD 20874-1066
Mailing address
20407 Waters Point LN
Germantown, MD 20874-1066
Phone (301) 515-5310
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1000259 | DC | MD | Clinical Psychologist |
| 3531 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychogeriatric Services LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Columbia, MD
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192752000000",
"number": "1992994503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20407 WATERS POINT LN",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208741066",
"telephone_number": "301-515-5310",
"fax_number": "202-354-4760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20407 WATERS POINT LN",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208741066",
"telephone_number": "301-515-5310",
"fax_number": "202-354-4760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKES",
"first_name": "BERNARD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-19",
"last_updated": "2007-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04024",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY1000259",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "3531",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.