DR. MIKE BROOKS (NPI# 1356432850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356432850 |
| Entity Type | Individual |
| Full Name | DR. MIKE BROOKS |
| Credential | PH.D. |
| Practice Address |
6012 W William Cannon Dr Ste B103 Austin TX 78749-1978 |
| Practice Telephone | 5128911500 |
| Practice Fax Number | 5128577679 |
| Mailing Telephone | 5128911500 |
| Mailing Fax Number | 5128577679 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2010-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 31394 | TX | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
31394 | TX | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
31394 | TX | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
31394 | TX | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
31394 | TX | Behavioral Health & Social Service Providers |
| Street Address |
6012 W WILLIAM CANNON DR STE B103 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78749-1978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043845308 | Bianca Watkins | Psychologist | 6012 W William Cannon Dr Ste B103, Austin, TX 78749-1978 | 2020-03-06 |
| 1972150522 | Korey Lee Watkins | Psychologist | 6012 W William Cannon Dr Ste B103, Austin, TX 78749-1978 | 2019-08-19 |
| 1891264396 | Laura Beth Frame | Psychologist | 6012 W William Cannon Dr Ste B103, Austin, TX 78749-1978 | 2018-11-14 |
| 1821591231 | Meredith Irene Brinster | Psychologist | 6012 W William Cannon Dr Ste B103, Austin, TX 78749-1978 | 2018-03-12 |
| 1801222880 | Melissa Ann Case-vincent | Psychologist | 6012 W William Cannon Dr Ste B103, Austin, TX 78749-1978 | 2013-09-23 |
| 1164555421 | Kim-marie Hernandez | Psychologist | 6012 W William Cannon Dr Ste B103, Austin, TX 78749-1978 | 2007-03-14 |
| 1477626695 | Laura Guli | Psychologist | 6012 W William Cannon Dr Ste B103, Austin, TX 78749-1978 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144863812 | Atx Sleep Center of Austin | Clinic/Center | 5920 W William Cannon Dr Bldg 6 Ste 110, Austin, TX 78749 | 2019-10-24 |
| 1194366740 | Monica Leann Woodworth | Behavioral Analyst | 5700 S Mopac Expy, C310, Austin, TX 78749 | 2019-10-04 |
| 1346894045 | Brianna Gonzalez | Behavioral Analyst | 5700 S Mopac Expy C310, Austin, TX 78749 | 2019-07-31 |
| 1811549603 | Austin Michael Arzaga | Pharmacist | 6600 Mopac Expressway South, Austin, TX 78749 | 2019-07-11 |
| 1922565092 | Ashley Harmon | Social Worker | 5417 S Mopac Expy, 418, Austin, TX 78749 | 2019-02-26 |
| 1316391139 | National Vision, Inc. | Technician/Technologist | 5300 S Mopac Expw, Ste 102 & 102c, Austin, TX 78749 | 2016-04-18 |
| 1972976322 | P&h Services, LLC | Durable Medical Equipment & Medical Supplies | 5920 W. William Cannon Dr., Bldg 6, Ste. 225, Austin, TX 78749 | 2015-11-06 |
| 1023495207 | Oncall Emergency Center Circle C LLC | Clinic/Center | 5701 W. Slaughter Lane, Blg G Ste 101, Austin, TX 78749 | 2015-04-27 |
| 1447685953 | Sally Vanessa Moser | Dentist | 3601 W. William Cannon Dr, Bldg 4, Ste 500, Austin, TX 78749 | 2013-09-04 |
| 1386987576 | Qiwei Paulson | Internal Medicine | 7504 Orrick Dr, Austin, TX 78749 | 2013-04-05 |
| Find all providers in zip 78749 | ||||
| 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 |
|---|---|---|---|---|
| 1619503497 | Kim Praderas Pllc | Psychologist | 3301 Northland Dr Ste 320, Austin, TX 78731-4952 | 2020-03-12 |
| 1427693928 | The University of Texas At Austin | Psychologist | 100 W Dean Keeton St., Austin, TX 78712 | 2019-11-08 |
| 1528618774 | Psicologia Psychology Pllc | Psychologist | 2500 W William Cannon Dr Ste 703, Austin, TX 78745-5252 | 2019-09-18 |
| 1023574761 | Con Alma Therapy, Pllc | Psychologist | 2222 Western Trails Blvd Ste 107, Austin, TX 78745-1601 | 2019-02-19 |
| 1831660364 | Neisha Hootman | Psychologist | 5555 N Lamar Blvd Ste E125, Austin, TX 78751-1052 | 2018-12-10 |
| 1952886962 | Erika Jane Vivyan | Psychologist | 205 Wild Basin #3 Suite 202, Austin, TX 78746 | 2018-09-26 |
| 1346736741 | Samuel Andrew Donaldson | Psychologist | 1308 Walnut Ave, Austin, TX 78702-1530 | 2018-07-09 |
| 1194214940 | Emily B. Kerzin | Psychologist | 3006 Bee Caves Rd, Ste. D-310, Austin, TX 78746 | 2018-05-08 |
| 1740797596 | Serena Messina | Psychologist | 1907 N Lamar Blvd Ste 230, Austin, TX 78705-4929 | 2018-01-02 |
| 1215446067 | Dr. Barbara Lee Corff Pllc | Psychologist | 12343 Hymeadow Dr Ste 3b, Austin, TX 78750-1858 | 2017-09-25 |
| Find all providers in AUSTIN | ||||
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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.