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DR. LAUREL OLIVIA BROCKENBERRY PHD
NPI 1063124097
Psychologist - Clinical in Hampton, VA

Active since December 21, 2022
100 EMANCIPATION DR, HAMPTON, VA 23667(757) 722-9961 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2024, Dec 21, 2022 (2 updates tracked since 2022).

About Dr. Laurel Olivia Brockenberry Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAUREL OLIVIA BROCKENBERRY PHD (NPI 1063124097) is an individual clinical provider in Hampton, Virginia, licensed in Virginia (0810008035) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1063124097
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LAUREL OLIVIA BROCKENBERRYCredential: PHD
Location Address100 EMANCIPATION DRHampton, VA 23667-0001
Mailing Address100 Emancipation DrHampton, VA 23667-1155 · (757) 722-9961
Phone(757) 722-9961
Sole ProprietorNo
Enumeration DateDecember 21, 2022
Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1063124097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810008035
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
100 EMANCIPATION DR, Hampton, VA 23667
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ROSEMARIE TOWNSEND RN
Registered Nurse
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-9961
REBECCA MYERS
Social Worker (Clinical)
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-4034
NYEEMA DUHART
Pharmacy Technician
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (720) 416-0236
DR. SRIDHAR MADHUNAPANTULA MD
Internal Medicine
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-9961
MR. ANTHONY LYNN JONES RKT, CRC
Kinesiotherapist
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-9961
MRS. TASHIKO LYNN BRADSHAW BROADHEAD LMSW
Social Worker
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-9961
MISS TINA MARIA CROCCO LMSW
Social Worker (Clinical)
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 922-9961
TRISH TRAN
Family Medicine
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-9961

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurel Brockenberry's NPI number?

The NPI number for Laurel Brockenberry is 1063124097. It was assigned to this individual provider in the NPPES registry on December 21, 2022.

Where is Laurel Brockenberry located?

Laurel Brockenberry practices at 100 Emancipation Dr, Hampton, VA 23667. The listed phone number is (757) 722-9961.

What is Laurel Brockenberry's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Laurel Brockenberry was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.