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DR. DAVID MICHAEL BROOKS PH.D.
NPI 1174503403
Psychologist - Clinical in Chicago, IL

Active since January 20, 2006Opted out of Medicare · through Jan 1, 2027
3800 N LAKE SHORE DR # 5E, CHICAGO, IL 60613(310) 498-0555 Get Directions Write a Review

NPPES record last updated: August 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David Michael Brooks Ph.d. NPPES

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

DR. DAVID MICHAEL BROOKS PH.D. (NPI 1174503403) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071.009978) and active in the NPI registry since January 2006. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174503403
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DAVID MICHAEL BROOKSCredential: PH.D.
Location Address3800 N LAKE SHORE DR # 5EChicago, IL 60613-3301
Mailing Address3800 N Lake Shore Dr # 5eChicago, IL 60613-3301 · (310) 498-0555
Phone(310) 498-0555
Sole ProprietorYes
Enumeration DateJanuary 20, 2006
Last NPPES UpdateAugust 10, 2024
NPPES CertifiedAugust 10, 2024
✔ NPI 1174503403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in IL · 071.009978✔ Licensed in CA · PSY 20877
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.
3800 N LAKE SHORE DR # 5E, Chicago, IL 60613
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Other Identifiers 5

Other1174503403CA · Cigna Healthcare/cbh
Other1174503403CA · United Healthcare
Other1143651Caqh Identifier
OtherOPL208770CA · Blue Shield Of California
OtherW20435CA · Medicare Group Id

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. David Michael Brooks Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2019 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2019
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DAVID M BROOKS PHD PSYCHOLOGICAL SERVICES PC
Psychologist (Clinical)
3800 N LAKE SHORE DR # 5E
CHICAGO, IL 60613
Cook County (310) 498-0555

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 David Brooks's NPI number?

The NPI number for David Brooks is 1174503403. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is David Brooks located?

David Brooks practices at 3800 N Lake Shore Dr # 5E, Chicago, IL 60613. The listed phone number is (310) 498-0555.

What is David Brooks's specialty?

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

Is David Brooks enrolled in Medicare?

No. David Brooks has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for David Brooks was last updated on August 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.