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ANDREA BROCKMAN
NPI 1265396360
Psychologist - Clinical in Valdosta, GA

Active since December 12, 2025
4722 OXBOTTOM DR, VALDOSTA, GA 31605(229) 415-4416 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Andrea Brockman NPPES

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

ANDREA BROCKMAN (NPI 1265396360) is an individual clinical provider in Valdosta, Georgia, licensed in Pennsylvania (PS020616) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1265396360
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameANDREA BROCKMAN
Location Address4722 OXBOTTOM DRValdosta, GA 31605-6379
Mailing Address4722 Oxbottom DrValdosta, GA 31605-6379 · (229) 415-4416
Phone(229) 415-4416
Sole ProprietorYes
Enumeration DateDecember 12, 2025
NPPES CertifiedDecember 12, 2025
✔ NPI 1265396360 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 PA · PS020616
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.
4722 OXBOTTOM DR, Valdosta, GA 31605
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Andrea Brockman's NPI number?

The NPI number for Andrea Brockman is 1265396360. It was assigned to this individual provider in the NPPES registry on December 12, 2025.

Where is Andrea Brockman located?

Andrea Brockman practices at 4722 Oxbottom Dr, Valdosta, GA 31605. The listed phone number is (229) 415-4416.

What is Andrea Brockman'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 Andrea Brockman was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.