PHILIP BROOKS (NPI# 1023400405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023400405 |
| Entity Type | Individual |
| Full Name | PHILIP BROOKS |
| Credential | LMFT |
| Practice Address |
4200 Monument Rd Philadelphia PA 19131-1625 |
| Practice Telephone | 2158772000 |
| Mailing Telephone | 2158772000 |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MF000788 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568791143 | Philip A Brooks | Psychiatry & Neurology | 1300 Hennepin Ave, Apt. M207, Minneapolis, MN 55403-1730 | 2009-12-10 |
| 1922019819 | Philip G Brooks | Specialist | 8631 W 3rd St, Suite 510e, Los Angeles, CA 90048-5901 | 2006-08-10 |
| 1942254818 | Philip L. Brooks | Internal Medicine | 33 Whiting Hill Rd, Suite 21, Brewer, ME 04412-1021 | 2006-05-22 |
| Street Address |
4200 MONUMENT RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19131-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043541 | Sarah Hanson | Social Worker | 4200 Monument Rd, Philadelphia, PA 19131-1689 | 2020-08-11 |
| 1639706898 | Jordyn Staar | Art Therapist | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2020-03-26 |
| 1558994467 | Samantha Suyon Woo | Social Worker | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2020-02-19 |
| 1679114961 | Colleen Andrews | Counselor | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2019-10-08 |
| 1811541279 | Lafayette Anesthesia Group, LLC | Nurse Anesthetist, Certified Registered | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2019-07-24 |
| 1083271621 | Wanda Maria Sztandera | Counselor | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2019-05-20 |
| 1801453477 | Bryan Gastelle | Student in an Organized Health Care Education/Training Program | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2019-05-20 |
| 1164088910 | Johanna Mae Dwinells | Music Therapist | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2019-05-17 |
| 1417423948 | Laura E Tyndall | Social Worker | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2018-10-23 |
| 1114403664 | Courtney Anne Murphy | Psychologist | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2018-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1821629254 | Stephen Osowski | Student in an Organized Health Care Education/Training Program | 4170 City Avenue, Philadelphia, PA 19131 | 2020-02-04 |
| 1134774888 | Arti D Mistry | Dentist | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
| 1275187221 | Grace Bernadette Farrelly | Occupational Therapist | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
| 1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
| 1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
| 1578092235 | Sarah Marie Hoder | Specialist/Technologist | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
| Find all providers in zip 19131 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738592 | Julia Mcgrath | Marriage & Family Therapist | 170 Cotton St Apt 205, Philadelphia, PA 19127-1445 | 2020-10-19 |
| 1629684832 | Jennifer Shortelle | Marriage & Family Therapist | 200 N 16th St Apt 1901, Philadelphia, PA 19102-1211 | 2020-09-22 |
| 1336754225 | Sage Regina | Marriage & Family Therapist | 1533 S Bouvier St, Philadelphia, PA 19146-4745 | 2020-09-09 |
| 1376157057 | Charmaine Ensinger | Marriage & Family Therapist | 338 Mercy St, Philadelphia, PA 19148-2632 | 2020-09-01 |
| 1437763174 | Maisy Hughes | Marriage & Family Therapist | 828 N Stillman St, Philadelphia, PA 19130-1836 | 2020-09-01 |
| 1952912594 | Amy L Crichton | Marriage & Family Therapist | 979 N Marshall St Unit 2, Philadelphia, PA 19123-1306 | 2020-08-16 |
| 1710596549 | Kellie Smith | Marriage & Family Therapist | 7552 Frankford Ave, Philadelphia, PA 19136-3534 | 2020-07-28 |
| 1982221123 | Margaret Claire Fromuth | Marriage & Family Therapist | 233 S 6th St Ste 3763, Philadelphia, PA 19106-3749 | 2020-07-04 |
| 1467077941 | Eileen Pitt | Marriage & Family Therapist | 2127 Homer St, Philadelphia, PA 19138-1935 | 2020-06-10 |
| 1154957686 | Akilah Pierre | Marriage & Family Therapist | 5049 Copley Rd, Philadelphia, PA 19144-4802 | 2020-03-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19131 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.