Active NPIIndividual provider

Randolph Brooks, PHD

Counselor in Norwich, Connecticut

NPI Number1013410315
Practice location
40 Connecticut Ave, Norwich, CT 06360-1502
Fax
—
Last updated
March 17, 2018

Randolph Brooks is a Counselor based in Norwich, CT. Randolph Brooks practices in Norwich, CT and has the professional credentials of PHD. The NPI Number for Randolph Brooks is 1013410315 and holds a License No. 3400 (CT). The current practice location address for Randolph Brooks is 40 Connecticut Ave, Norwich, CT 06360-1502 and can be reached out via phone at 860-889-7274.

Provider Profile Details

NPI Number
1013410315
Provider Name
Randolph Brooks
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
40 Connecticut Ave, Norwich, CT 06360-1502
Phone Number
860-889-7274
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
March 13, 2018
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Connecticut Ave
Norwich, CT 06360-1502
Zip
06360-1502
Phone Number
860-889-7274
Norwich, CT 06360Get directions →

Provider Business Mailing Address Details

Address
40 Connecticut Ave
Norwich, CT 06360-1502
City
Norwich
State
CT
Zip
06360-1502
Phone Number
860-889-7274

License Information

License Number
3400
License State
CT
Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Randolph Brooks, PHD?

The NPI number of Randolph Brooks, PHD is 1013410315. It was assigned on March 13, 2018 and is currently active in the NPPES registry.

What is the specialty of Randolph Brooks, PHD?

Randolph Brooks, PHD is registered under the primary taxonomy Counselor (code 101Y00000X), licensed in CT under license number 3400.

Where does Randolph Brooks, PHD practice?

The practice location is 40 Connecticut Ave, Norwich, CT 06360-1502. The office can be reached at 860-889-7274 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013410315 directly on the NPPES registry website.

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