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DR. DAVID MICHAEL BROOKS PH.D. NPI 1174503403


NPI Profile

NPI: 1174503403
Provider Name: DR. DAVID MICHAEL BROOKS, PH.D.
Classification:Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
6404 WILSHIRE BLVD
STE 1030
LOS ANGELES, CA
ZIP 90048
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Phone: (310) 498-0555

DR. David Michael Brooks, PH.D. is a clinical psychologist in Los Angeles, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. David Michael Brooks, PH.D. NPI is 1174503403. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6404 WILSHIRE BLVD
STE 1030
LOS ANGELES, CA
ZIP 90048-501
Phone: (310) 498-0555
Fax: (310) 684-2778

The NPI 1174503403 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/20/2006 and was last updated on 1/27/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalPY7003FLORIDANo
2103TC0700XPsychologistClinicalPSY 20877CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11143651OTHERCAQH IDENTIFIER
21174503403OTHERCALIFORNIAUNITED HEALTHCARE
3OPL208770OTHERCALIFORNIABLUE SHIELD OF CALIFORNIA
4W20435OTHERCALIFORNIAMEDICARE GROUP ID
574362AMEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICAIRE PROVIDER (IND)
61174503403OTHERCALIFORNIACIGNA HEALTHCARE/CBH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/11/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.