MR. MARK A BROOKS (NPI# 1053407254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053407254 |
Entity Type | Individual |
Full Name | MR. MARK A BROOKS |
Credential | PH.D. |
Practice Address |
1708 Peachtree St Nw Suite 400 Atlanta GA 30309-2434 |
Practice Telephone | 4046071220 |
Practice Fax Number | 4046071240 |
Mailing Telephone | 4046071220 |
Mailing Fax Number | 4046071240 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103G00000X | Clinical Neuropsychologist | PSY7294 | FL | Behavioral Health & Social Service Providers |
Y | 103G00000X | Clinical Neuropsychologist | PSY001250 | GA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992114862 | Mark Brooks | Pharmacist | 701 E Grover St, Shelby, NC 28150-4035 | 2014-08-05 |
1487908299 | Mark S Brooks | Social Worker | 445 Cleveland Ave Se, Atlanta, GA 30354-2200 | 2012-10-31 |
1306140124 | Mark Brooks | Nurse's Aide | 4438 Donna Dr, Richmond Heights, OH 44143-2630 | 2011-01-09 |
1548349400 | Mark S. Brooks | Dentist | 1604 Randolph Ave, Saint Paul, MN 55105-2148 | 2006-11-03 |
1528039187 | Mark Brooks | Family Medicine | 113 Leilmanis Ave, Attn: Credentials (cmc), Hurlburt Field, FL 32544-5600 | 2006-01-31 |
1902310048 | Mark Anthony Brooks Jr. | Case Manager/Care Coordinator | 904 G St, Eureka, CA 95501-1829 | 2017-11-28 |
1053658567 | Mark Barrett Brooks | Pharmacist | 941 N Parkway, Jackson, TN 38305-4504 | 2013-01-04 |
1760743785 | Mark Lawrence Brooks | Psychologist | 287 Central St, Gardner, MA 01440-8311 | 2012-06-06 |
1831275551 | Mark L Brooks | Dentist | 6060 Portal Way, Ferndale, WA 98248-7833 | 2006-10-27 |
1306927249 | Mark G Brooks | Internal Medicine | 10000 W Colonial Dr, Suite 187, Ocoee, FL 34761-3498 | 2006-10-18 |
Street Address |
1708 PEACHTREE ST NW SUITE 400 |
City | ATLANTA |
State | GA |
Zip Code | 30309-2434 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255422580 | Michele R. Russell | Psychologist | 1708 Peachtree St Nw, Suite 505, Atlanta, GA 30309-2434 | 2006-09-28 |
1427574243 | Christine Wolff | Counselor | 1708 Peachtree St Nw, Unit 300, Atlanta, GA 30338 | 2017-08-15 |
1083156590 | Peachtree Art Therapy and Counseling | Counselor | 1708 Peachtree St Nw, 204, Atlanta, GA 30309-2434 | 2016-11-15 |
1467903260 | Dianna Briggs | Social Worker | 1708 Peachtree St Nw, Suite 204, Atlanta, GA 30309-2434 | 2016-10-18 |
1851759633 | Erin English | Psychologist | 1708 Peachtree St Nw, Atlanta, GA 30309-2434 | 2016-02-08 |
1942674874 | Jamie Steele | Marriage & Family Therapist | 1708 Peachtree St Nw, Suite 530, Atlanta, GA 30309-2434 | 2015-11-16 |
1063813756 | Rock Springs Positive Coaching, Caring, and Counseling, Inc. | Social Worker | 1708 Peachtree St Nw, Suite 425, Atlanta, GA 30309-2434 | 2014-09-12 |
1881094993 | Laura Knox | Marriage & Family Therapist | 1708 Peachtree St Nw, Suite 525, Atlanta, GA 30309-2434 | 2014-08-26 |
1417361130 | Joel Baker | Marriage & Family Therapist | 1708 Peachtree St Nw, #525, Atlanta, GA 30309-2434 | 2014-06-20 |
1528488871 | Courtney Geter | Marriage & Family Therapist | 1708 Peachtree St Nw, Suite 530, Atlanta, GA 30309-2434 | 2014-04-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
Find all providers in zip 30309 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720614746 | Neuropsychology Associates of Georgia LLC | Clinical Neuropsychologist | 280 Interstate North Cir Se Ste 450, Atlanta, GA 30339-2451 | 2020-03-21 |
1023586773 | The Atlanta Psychology Group | Clinical Neuropsychologist | 3500 Piedmont Rd Ne Ste 740, Atlanta, GA 30305-1507 | 2018-11-09 |
1053850172 | S. Marilyn Miller | Clinical Neuropsychologist | 90 Fairlie St Nw, Suite 203, Atlanta, GA 30303-2127 | 2017-02-22 |
1457898371 | Tamara Weiss, M.d., LLC | Clinical Neuropsychologist | 1772 Century Blvd Ne Ste A, Atlanta, GA 30345-3396 | 2017-01-30 |
1689048076 | Laura Blackwell | Clinical Neuropsychologist | 5455 Meridian Marks Rd Ste 180, Atlanta, GA 30342-4716 | 2015-11-23 |
1306287412 | Negar Fani | Clinical Neuropsychologist | 101 Woodruff Cir Ste 4304, Atlanta, GA 30322-0001 | 2013-07-17 |
1629383799 | Aimilia Papazoglou | Clinical Neuropsychologist | 5825 Glenridge Dr Ste 1-133, Atlanta, GA 30328-7144 | 2010-08-13 |
1700113883 | Laura Lee Hoskins | Clinical Neuropsychologist | 2020 Peachtree Nw Rd, Atlanta, GA 30309-1426 | 2009-11-10 |
1831329077 | Dawn Linnea Ilardi | Clinical Neuropsychologist | 5455 Meridian Marks Rd Ne Ste 180, Atlanta, GA 30342-4716 | 2009-07-22 |
1174707756 | Catherine Hillary Rogers | Clinical Neuropsychologist | 280 Interstate North Cir Se, Suite 450, Atlanta, GA 30339-2450 | 2007-12-19 |
Find all providers in ATLANTA |
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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.