MR. PHILLIP JAY BROOKS (NPI# 1093789836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093789836 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP JAY BROOKS |
| Credential | LMHC |
| Practice Address |
1750 17th St Bldg J-2 Sarasota FL 34234-8632 |
| Mailing Address |
705 Dean Avenue Sarasota FL 34237 |
| Practice Telephone | 9415522078 |
| Practice Fax Number | 9415522079 |
| Mailing Telephone | 9419534318 |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2011-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MH3098 | FL | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MH3098 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSED MH COUNSELOR | MH 3098 | 01 |
| FL | 764872300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275645392 | Phillip L. Brooks | Chiropractor | 1032 S Spring St, Port Washington, WI 53074-2455 | 2006-08-31 |
| 1285625723 | Phillip Mohler Brooks | Specialist | 2524 Tramway Terrace Ct Ne, Albuquerque, NM 87122-2317 | 2005-11-03 |
| 1265812390 | Phillip Brooks | Counselor | 8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861 | 2015-06-03 |
| 1790751022 | Phillip Daniel Brooks | Radiology | 650 Joel Dr, Blanchfield Army Community Hospital, Ft. Campbell, KY 42223-5349 | 2006-02-27 |
| Street Address |
1750 17TH ST BLDG J-2 |
| City | SARASOTA |
| State | FL |
| Zip Code | 34234-8632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265088447 | Leah Danielle Abramoff | Social Worker | 1750 17th St, Sarasota, FL 34234-8632 | 2019-08-14 |
| 1730552241 | Krystal Suzanne Frazier | Counselor | 1750 17th St, Sarasota, FL 34234-8632 | 2015-11-05 |
| 1295125292 | Crissa Ann Harman | Counselor | 1750 17th St, Sarasota, FL 34234-8632 | 2015-01-28 |
| 1013324235 | Florida Department of Health Childrens Health Center | Pharmacy | 1750 17th St, Bldg E, Sarasota, FL 34234-8632 | 2014-07-21 |
| 1144646555 | Michelle Rosell | Community Health Worker | 1750 17th St, Sarasota, FL 34234-8632 | 2014-03-10 |
| 1245656651 | Annette Bolton | Community Health Worker | 1750 17th St, Sarasota, FL 34234-8632 | 2014-03-10 |
| 1902134091 | Darra S Moore | Registered Nurse | 1750 17th St, Sarasota, FL 34234-8632 | 2009-12-01 |
| 1396963294 | Amanda Shanks Mcconnell | Social Worker | 1750 17th St, Suite J-2, Sarasota, FL 34234-8632 | 2007-04-23 |
| 1336206739 | Stephen Kopetskie | Psychologist | 1750 17th St, Building C, Sarasota, FL 34234-8632 | 2007-01-03 |
| 1205943065 | David Allen Clapp | Counselor | 1750 17th St, Sarasota, FL 34234-8632 | 2006-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447797519 | Yen Le | Family Medicine | 1750 17th Street Building E Sally and Sam, Shapiro Babies and Children Medical Center, Sarasota, FL 34234 | 2017-01-26 |
| 1831546027 | Monica Perry | Counselor | 1700 Independence Blvd Suite 100, Sarasota, FL 34234 | 2016-05-18 |
| 1639562523 | Marylou Caldwell | Social Worker | 1750 17th Street, Sarasota, FL 34234 | 2015-03-17 |
| 1265853337 | Comfort Iv Therapy | Pharmacy | 1800 Northgate Blvd, Suite A7, Sarasota, FL 34234 | 2013-12-17 |
| 1346687043 | Joel Alan Bernstein | Counselor | 1500 Independence Blvd. Suite 100, Family Preservation Services,inc, Sarasota, FL 34234 | 2013-06-04 |
| 1285911479 | Gina Sauer | Social Worker | 1748 Independence Blvd Suite D-1, Sarasota, FL 34234 | 2011-11-16 |
| 1982811279 | Miles C. Douglas | Occupational Therapy Assistant | 1855 Sanford Cir., Sarasota, FL 34234 | 2007-05-17 |
| 1518185503 | Debao Ye | Acupuncturist | 3808 North Tamiami Trail, Sarasota, FL 34234 | 2007-04-23 |
| 1053457655 | Sonja M. O'flynn | Nurse Practitioner | 2223 N Washington Blvd, Genesis Health Services, Inc, Sarasota, FL 34234 | 2007-01-30 |
| 1245326057 | Virginia Munson Reynolds | Counselor | 1750 17th. St., Sarasota, FL 34234 | 2006-10-05 |
| Find all providers in zip 34234 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574882 | Matthew Swank | Counselor | 5951 Clark Center Ave, Sarasota, FL 34238-2717 | 2020-03-25 |
| 1649807165 | Sarah Merritt | Counselor | 5951 Clark Center Ave Unit B, Sarasota, FL 34238-2717 | 2020-03-25 |
| 1215595004 | Brett Sondag | Counselor | 2033 Wood St., Ste. 215, 218, 220, Sarasota, FL 34237 | 2019-06-05 |
| 1881177764 | Casey Collier | Counselor | 4613 N Washington Blvd, Sarasota, FL 34234-2132 | 2018-09-07 |
| 1306334164 | Gilbert Hunt Sayres Jr. | Counselor | 1347 Hidden Cir E, Sarasota, FL 34243-1263 | 2018-04-27 |
| 1437491081 | Sharon A Huseman | Counselor | 2050 Proctor Rd, Suite C, Sarasota, FL 34231-4366 | 2013-03-21 |
| 1275883837 | Nancy Ann Page | Counselor | 1750 17th St Bldg J, Sarasota, FL 34234-8632 | 2012-09-11 |
| 1720315740 | Jeffrey Clark Anglin | Counselor | 1990 Main St Ste 750, Sarasota, FL 34236-8000 | 2009-11-12 |
| 1790937001 | Erin Elizabeth Minor | Counselor | 209 N Lime Ave, Sarasota, FL 34237-6123 | 2008-10-17 |
| 1578737565 | William Edward Deacon | Counselor | 1620 Main St, Suite # 12, Sarasota, FL 34236-5824 | 2008-04-22 |
| Find all providers in SARASOTA | ||||
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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.