MEDICARE: DAVID M BROOKS PHD PSYCHOLOGICAL SERVICES PC

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	103TC0700X	Clinical Psychologist	PSY 20877	CA
2	103TP0814X	Psychoanalysis Psychologist	PSY 20877	CA
3	103TC0700X	Clinical Psychologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1174503403	OTHER	CA	CIGNA HEALTHCARE/CBH
2	ZZZ56245Y	OTHER	CA	BLUE SHIELD OF CALIFORNIA
3	1174503403	OTHER	CA	UNITED BEHAVIORAL HEALTH

General Provider Information

NPI Number	:	1558500223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID M BROOKS PHD PSYCHOLOGICAL SERVICES PC

Provider Business Mailing Address
First Line	:	3800 N LAKE SHORE DR # 5E
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-3301
Country	:	US
Telephone Number	:	310-498-0555
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 N LAKE SHORE DR # 5E
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-3301
Country	:	US
Telephone Number	:	310-498-0555
Fax Number	:

Authorized Official
Title or Position	:	OWNER AND PRESIDENT
Name	:	DR. DAVID MICHAEL BROOKS
Credential	:	PH.D.
Telephone Number	:	310-498-0555

Provider Enumeration Date	:	02/19/2009
Last Update Date	:	08/09/2024

Similar Medicare Providers

1174503403 — DR. DAVID MICHAEL BROOKS PH.D.
Practice Location Address:

3800 N LAKE SHORE DR # 5E
CHICAGO, IL
60613-3301

Practice Phone: 310-498-0555
Practice Fax:

1235689886 — DR. ANGELA STATHOPOULOS D.D.S.
Practice Location Address:

3800 N LAKE SHORE DR , 1E
CHICAGO, IL
60613-3301

Practice Phone: 847-778-8170
Practice Fax:

1962908418 — LAURA MCBRIDE FNP-BC
Practice Location Address:

3301 N ASHLAND AVE
CHICAGO, IL
60657-2127

Practice Phone: 312-429-5725
Practice Fax:

1548129059 — PURPOSE AND MONROE LLC
Practice Location Address:

3301 W ARTHINGTON ST APT 405
CHICAGO, IL
60624-4236

Practice Phone: 312-874-0991
Practice Fax:

1043179567 — NATALIE WADE
Practice Location Address:

3301 W ARTHINGTON ST APT 405
CHICAGO, IL
60624-4236

Practice Phone: 312-874-0991
Practice Fax:

1386637148 — MICHAEL DAVID SMITH M.D.
Practice Location Address:

600 N LAKE SHORE DR , APT 3301
CHICAGO, IL
60611

Practice Phone: 312-371-5200
Practice Fax: 312-371-5200

Directions to “DAVID M BROOKS PHD PSYCHOLOGICAL SERVICES PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.