MR. GARDNER PRITCHARD BROOKSBANK JR.


Address: 4646 Poplar Avenue, Suite 434, Memphis, TN 38117
Phone: 9017670956

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 0000000016 TN Behavioral Health & Social Service Providers

Office Location

Street Address 4646 POPLAR AVENUE
SUITE 434
City MEMPHIS
State TN
Zip Code 38117

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811008113 Leanne Pate Psychologist 4646 Poplar Avenue, #326, Memphis, TN 38117-4442 2006-08-31

Providers in the same zip code

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 Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
Find all providers in MEMPHIS

Competitor

Search similar providers

City MEMPHIS
Zip Code 38117

Improve Information

Please comment or provide details below to improve the information on MR. GARDNER PRITCHARD BROOKSBANK JR..

Dataset Information

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.

Trending Searches