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BROOKE ALYSE TANNENBAUM
NPI 1275003642
Counselor - Mental Health in San Diego, CA

Active since November 28, 2018
480 ALTA RD, SAN DIEGO, CA 92179(619) 661-6500 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2024, Jun 7, 2021, Jan 28, 2019 and 2 more (5 updates tracked since 2018).

About Brooke Alyse Tannenbaum NPPES

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

BROOKE ALYSE TANNENBAUM (NPI 1275003642) is an individual mental health provider in San Diego, California, licensed in California (17261) and active in the NPI registry since November 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275003642
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBROOKE ALYSE TANNENBAUM
Location Address480 ALTA RDSan Diego, CA 92179-0001
Mailing Address886 Sunny Brook WayPleasanton, CA 94566-3818 · (925) 354-9870
Phone(619) 661-6500
Sole ProprietorNo
Enumeration DateNovember 28, 2018
Last NPPES UpdateSeptember 24, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1275003642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 17261
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
480 ALTA RD, San Diego, CA 92179
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Secondary Practice Locations 2

Location 1886 Sunny Brook WayPleasanton, CA 94566-3818 · Phone (925) 354-9870
Location 22001 The AlamedaSan Jose, CA 95126-1136 · Phone (408) 261-7777

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.

DR. RAFAEL ELIAS OLIVARES CHAYEB
Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
San Diego County (619) 691-6947
DR. KRISTI WONG PSYD
Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
San Diego County (619) 661-6500
DR. SONIA Y RUIZ PHD
Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
San Diego County (619) 661-6500
DR. VERA MELKUMYAN PSY. D
Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
San Diego County (619) 661-6500
DR. STEVEN W CHU PHARMD
Pharmacist
480 ALTA RD
SAN DIEGO, CA 92179
San Diego County (619) 661-6500
JONEKA CLAYTON LCSW
Social Worker (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
San Diego County (619) 661-6500
YOSHINORI SATO PSY.D.
Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
San Diego County (619) 661-6500
DR. ASHER JOHNSON PHD
Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
San Diego County (619) 495-2252

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 Brooke Tannenbaum's NPI number?

The NPI number for Brooke Tannenbaum is 1275003642. It was assigned to this individual provider in the NPPES registry on November 28, 2018.

Where is Brooke Tannenbaum located?

Brooke Tannenbaum practices at 480 Alta Rd, San Diego, CA 92179. The listed phone number is (619) 661-6500.

What is Brooke Tannenbaum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Brooke Tannenbaum was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.