Healthcare Provider Details

I. General information

NPI: 1235045782
Provider Name (Legal Business Name): BROOKE SARAH RAPPAPORT PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2911 12TH AVE S
NASHVILLE TN
37204-2544
US

IV. Provider business mailing address

2911 12TH AVE S
NASHVILLE TN
37204-2544
US

V. Phone/Fax

Practice location:
  • Phone: 615-953-3934
  • Fax:
Mailing address:
  • Phone: 615-953-3934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number3838
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: