KRISTINA ANNE BROOKSHIRE-GAY PHD
NPI 1104420934
Psychologist - Clinical Child & Adolescent in Ann Arbor, MI

Q: What is Kristina Brookshire-gay's NPI number?

The NPI number for Kristina Brookshire-gay is 1104420934. It was assigned to this individual provider in the NPPES registry on November 23, 2020. The provider is also known as Kristina Anne Brookshire Tllp.

Q: What is Kristina Brookshire-gay's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Active since November 23, 2020PECOS Enrolled

1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109(734) 936-4000 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2025, Nov 23, 2020 (2 updates tracked since 2020).

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About Kristina Anne Brookshire-gay Phd NPPES

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

KRISTINA ANNE BROOKSHIRE-GAY PHD (NPI 1104420934) is an individual clinical child & adolescent provider in Ann Arbor, Michigan, licensed in Michigan (6301019560) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brighton, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104420934

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameKRISTINA ANNE BROOKSHIRE-GAYCredential: PHD

Location Address1500 E MEDICAL CENTER DRAnn Arbor, MI 48109-5000

Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299

Phone(734) 936-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 23, 2020

Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration

NPPES CertifiedMarch 26, 2025

✔ NPI 1104420934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in MI · 6301019560

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologistTaxonomy 103T00000X · License 6352000394 (MI)

1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109

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Other Names 1

Former Name (1)Kristina Anne Brookshire Tllp

Secondary Practice Location 1

Location 110524 Grand River Rd Ste 100Brighton, MI 48116-9559 · Phone (810) 225-3417

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristina Anne Brookshire-gay Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133635527

PECOS Enrollment IDI20250722003956

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

LOKMAN SUNG MD

Pathology (Forensic Pathology)

1500 E MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109

Washtenaw County (800) 862-7284

SAMEER DEV SAINI M.D.

Internal Medicine (Gastroenterology)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

KYLE DAVID PERRY MD

Pathology (Cytopathology)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

DR. DAVID ALEXANDER STEWART M.D.

Pediatrics

1500 E MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL ROOM 525
ANN ARBOR, MI 48109

Washtenaw County (734) 763-5302

DR. MICHAEL EDMUND WATSON MD

Pediatrics (Pediatric Infectious Diseases)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

CARRIE KRAEGER PORTER PA-C

Physician Assistant

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-6666

DENISE LYNN BERRY CRNA

Nurse Anesthetist, Certified Registered

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

KETTI SOPHIA PETERSEN MD

Family Medicine (Hospice and Palliative Medicine)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

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 Kristina Brookshire-gay's NPI number?

The NPI number for Kristina Brookshire-gay is 1104420934. It was assigned to this individual provider in the NPPES registry on November 23, 2020. The provider is also known as Kristina Anne Brookshire Tllp.

Where is Kristina Brookshire-gay located?

Kristina Brookshire-gay practices at 1500 E Medical Center Dr, Ann Arbor, MI 48109. The listed phone number is (734) 936-4000.

What is Kristina Brookshire-gay's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Kristina Brookshire-gay enrolled in Medicare?

Yes. Kristina Brookshire-gay is registered in the Medicare PECOS enrollment system.

What insurance does Kristina Brookshire-gay accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Kristina Brookshire-gay as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristina Brookshire-gay was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.