MARY PATRICIA BROCKMAN (NPI# 1790050045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790050045 |
| Entity Type | Individual |
| Full Name | MARY PATRICIA BROCKMAN |
| Credential | PH.D. |
| Practice Address |
644 N Carrollton Ave New Orleans LA 70119-4707 |
| Practice Telephone | 5042696006 |
| Practice Fax Number | 5048941008 |
| Mailing Telephone | 5042696006 |
| Mailing Fax Number | 5048941008 |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
574 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104275924 | Mary Brockman | Technician, Other | 5039 E 13 Mile Rd, Warren, MI 48092-4444 | 2016-06-13 |
| 1194011460 | Mary Denise Brockman | Speech-Language Pathologist | 2214 Winberie Ct, Katy, TX 77450-7691 | 2011-06-24 |
| Street Address |
644 N CARROLLTON AVE |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70119-4707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225294416 | Christina B James | Social Worker | 644 N Carrollton Ave, New Orleans, LA 70119-4760 | 2008-08-06 |
| 1356812465 | Christina James LLC | Clinic/Center | 644 N Carrollton Ave, New Orleans, LA 70119-4707 | 2018-12-16 |
| 1447630801 | Jessica Bertsch | Social Worker | 644 N Carrollton Ave, New Orleans, LA 70119-4707 | 2015-06-01 |
| 1447651435 | Alexis Yankowski Mueller | Counselor | 644 N Carrollton Ave, New Orleans, LA 70119-4760 | 2014-09-09 |
| 1851701486 | Lynn Parker | Psychologist | 644 N Carrollton Ave, New Orleans, LA 70119 | 2014-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161105 | Mark P Kostelak | Perfusionist | Southeast Louisiana Veterans Health Care System, 2400 Canal Street, New Orleans, LA 70119 | 2020-10-15 |
| 1922626365 | Shanika Valcour-leduff | Nurse Practitioner | 535 S Galvez St., New Orleans, LA 70119 | 2020-07-13 |
| 1932723335 | Just Health | Clinic/Center | 2800 Perdido St, New Orleans, LA 70119 | 2020-06-01 |
| 1205460235 | Lily Tran | Registered Nurse | 119 S Galvez Street, New Orleans, LA 70119 | 2020-02-28 |
| 1740823137 | Kaylyn Bernard | Case Manager/Care Coordinator | 2626 Canal St., New Orleans, LA 70119 | 2019-10-18 |
| 1114577954 | Alyssia Breion Smith | Case Manager/Care Coordinator | 1995 Gentilly Blvd. Ste. C-400, New Orleans, LA 70119 | 2019-09-13 |
| 1457903387 | Brian Steven Goldfarb | Dentist | 3701 Conti St, Apt #3403, New Orleans, LA 70119 | 2019-07-11 |
| 1013404011 | Made Positive, Inc. | Community/Behavioral Health | 3443 Esplanade Ave., Suite 215, New Orleans, LA 70119 | 2018-04-16 |
| 1972008654 | Griffin Caballero Brown | Student in an Organized Health Care Education/Training Program | 520 Jefferson Davis Hwy, New Orleans, LA 70119 | 2018-03-26 |
| 1902300544 | Kyle Raymond Hoppens | Student in an Organized Health Care Education/Training Program | 4502 Saint Ann Street, New Orleans, LA 70119 | 2018-03-20 |
| Find all providers in zip 70119 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760647663 | William E Fowler | Psychologist | 309 Crystal St, New Orleans, LA 70124-2619 | 2008-07-21 |
| 1548456189 | Courtney N. Baker | Psychologist | 6400 Freret St, Psychology Dept., 2007 Percival Stern Hall, New Orleans, LA 70118-5636 | 2007-09-18 |
| 1831750645 | Kasia Plessy | Psychologist | 1430 Tulane Ave # 8055, New Orleans, LA 70112-2632 | 2019-06-23 |
| 1114588142 | Jamil Monique Gilliam | Psychologist | 1430 Tulane Ave # 8055, New Orleans, LA 70112-2632 | 2019-06-20 |
| 1891351326 | Bianchini-esteve-edwards LLC | Psychologist | 7252 Lakeshore Dr, New Orleans, LA 70124-2433 | 2019-05-09 |
| 1578025185 | Margaret Smith | Psychologist | 1430 Tulane Ave # 8055, New Orleans, LA 70112-2632 | 2019-04-02 |
| 1699293746 | Clifton Mixon | Psychologist | 1319 Jefferson Hwy, New Orleans, LA 70121 | 2017-09-08 |
| 1811419526 | Kristen Elise Pearson | Psychologist | 1430 Tulane Ave # 8055, New Orleans, LA 70112-2632 | 2017-07-13 |
| 1851701486 | Lynn Parker | Psychologist | 644 N Carrollton Ave, New Orleans, LA 70119 | 2014-05-05 |
| 1780946459 | Jenna Rosen | Psychologist | 1430 Tulane Ave, #8055, New Orleans, LA 70112-2632 | 2012-06-08 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70119 |
Please comment or provide details below to improve the information on MARY PATRICIA BROCKMAN.
| 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.