MEDICARE: DR. BROOK CHOULET MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	60203	AZ
2	2084P0800X	Psychiatry Physician	A174897	CA
3	2084P0804X	Child & Adolescent Psychiatry Physician	60203	AZ

General Provider Information

NPI Number	:	1083146807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BROOK CHOULET MD

Provider Business Mailing Address
First Line	:	7377 E DOUBLETREE RANCH RD STE A-185
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-2053
Country	:	US
Telephone Number	:	480-370-5656
Fax Number	:	480-612-8985

Provider Business Practice Location Address
First Line	:	7373 N SCOTTSDALE RD STE C190
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85253-3754
Country	:	US
Telephone Number	:	480-370-5656
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2017
Last Update Date	:	06/05/2026

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Directions to “ DR. BROOK CHOULET MD” Practice Location

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