REGINALD CRILLIN BROOKS JR. - NPI 1255040192 - Peer Specialist in Chula Vista, CA

Q: What is Reginald Brooks's NPI number?

The NPI number for Reginald Brooks is 1255040192. It was assigned to this individual provider in the NPPES registry on November 18, 2022.

Q: What is Reginald Brooks's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Reginald Brooks was last updated on November 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Reginald Crillin Brooks Jr. NPPES

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

REGINALD CRILLIN BROOKS JR. (NPI 1255040192) is an individual peer specialist in Chula Vista, California and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1255040192

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameREGINALD CRILLIN BROOKS JR.

Location Address330 MOSS STChula Vista, CA 91911-2005

Mailing Address330 Moss StChula Vista, CA 91911-2005 · (619) 585-4221

Phone(619) 585-4221

Sole ProprietorYes

Enumeration DateNovember 18, 2022

NPPES CertifiedNovember 18, 2022

✔ NPI 1255040192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

330 MOSS ST, Chula Vista, CA 91911

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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.

SOFIA CASILLAS PEREA

Case Manager/Care Coordinator