DR. SYNTHIA ILEYNE BROOKS


Address: 1123 Avenue Z, Brooklyn, NY 11235-5107
Phone: 9292538026

DR. SYNTHIA ILEYNE BROOKS (NPI# 1982970018) 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) 1982970018
Entity Type Individual
Full Name DR. SYNTHIA ILEYNE BROOKS
Credential PHD
Practice Address 1123 Avenue Z
Brooklyn
NY 11235-5107
Mailing Address 3858 Nostrand Ave
Suite 102
Brooklyn
NY 11235-2050
Practice Telephone 9292538026
Mailing Telephone 9292538026
Enumeration Date 2012-03-22
Last Update Date 2016-08-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
014900-1 NY Behavioral Health & Social Service Providers

Office Location

Street Address 1123 AVENUE Z
City BROOKLYN
State NY
Zip Code 11235-5107

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1225671985 Kenji Takeda Psychologist 68 35th St Unit 4, Brooklyn, NY 11232-2211 2019-10-24
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Competitor

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City BROOKLYN
Zip Code 11235

Improve Information

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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.

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