MR. GARDNER PRITCHARD BROOKSBANK JR. (NPI# 1467511774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467511774 |
Entity Type | Individual |
Full Name | MR. GARDNER PRITCHARD BROOKSBANK JR. |
Credential | SPE HEALTH SERVICE P |
Practice Address |
4646 Poplar Avenue Suite 434 Memphis TN 38117 |
Mailing Address |
251 Bremington Place Memphis TN 38111 |
Practice Telephone | 9017670956 |
Practice Fax Number | 9017671956 |
Mailing Telephone | 9014580503 |
Mailing Fax Number | 9017671956 |
Enumeration Date | 2006-12-06 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | 0000000016 | TN | Behavioral Health & Social Service Providers |
Street Address |
4646 POPLAR AVENUE SUITE 434 |
City | MEMPHIS |
State | TN |
Zip Code | 38117 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811008113 | Leanne Pate | Psychologist | 4646 Poplar Avenue, #326, Memphis, TN 38117-4442 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
Find all providers in zip 38117 |
Taxonomy Code | 103T00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
Notes: Source: American Psychological Association [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750916839 | Deborah Elaine Renard | Psychologist | 1834 Dearing Rd, Memphis, TN 38117-7408 | 2020-03-09 |
1598314007 | Christina Mae Martinez | Psychologist | 3415 Valley Park Cv, Memphis, TN 38115-4325 | 2019-09-06 |
1386178044 | Cherokee Health Systems | Psychologist | 2547 Frayser Blvd, Memphis, TN 38127-5829 | 2017-04-19 |
1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
1225448376 | Alison Gregg Dowd | Psychologist | 1030 Jefferson Ave # 116a4, Memphis, TN 38104-2127 | 2014-04-29 |
1346580552 | Bianca Branch | Psychologist | 4166 W Bufford Ellington Dr, Memphis, TN 38111 | 2013-02-25 |
1275830648 | Katherine Ruth Hiestand | Psychologist | 1722 Tutwiler Ave, Memphis, TN 38107-4538 | 2011-02-22 |
1316249956 | Trisha Marie Nash | Psychologist | 2064 Young Ave, Memphis, TN 38104-5653 | 2010-12-02 |
1245560978 | Jasmine Brooke Bradley | Psychologist | 1418 E Crestwood Dr, Memphis, TN 38119-6002 | 2009-12-31 |
1144557588 | William B Little Jr. | Psychologist | 5349 Estate Office Dr Ste 3, Memphis, TN 38119 | 2009-11-05 |
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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.