DR. BEVERLY DAWN BROOKS PH.D.
NPI 1326250978
Psychologist in Marietta, GA

Active since May 04, 2007Opted out of Medicare · through Sep 1, 2026
660 VILLAGE TRCE NE BLDG 18, PAPER MILL VILLAGE OFFICE PARK, MARIETTA, GA 30067(678) 267-6054 Get Directions Write a Review

NPPES record last updated: May 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Beverly Dawn Brooks Ph.d. NPPES

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

DR. BEVERLY DAWN BROOKS PH.D. (NPI 1326250978) is an individual psychologist in Marietta, Georgia, licensed in Georgia (PSY002831) and active in the NPI registry since May 2007. She has opted out of Medicare through September 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1326250978
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. BEVERLY DAWN BROOKSCredential: PH.D.
Location Address660 VILLAGE TRCE NE BLDG 18, PAPER MILL VILLAGE OFFICE PARKMarietta, GA 30067-4081
Mailing Address660 Village Trce Ne Bldg 18, Paper Mill Village Office ParkMarietta, GA 30067-4081 · (678) 267-6054
Sole ProprietorYes
Enumeration DateMay 4, 2007
Last NPPES UpdateMay 23, 2014
NPI 1326250978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in GA · PSY002831 Licensed in NC · 1844
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License PSY002831 (GA), 1844 (NC)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License PSY002831 (GA), 1844 (NC)
660 VILLAGE TRCE NE BLDG 18, Marietta, GA 30067

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. Beverly Dawn 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 September 1, 2016 through September 1, 2026.

Opt-Out Effective DateSeptember 1, 2016
Opt-Out In Effect ThroughSeptember 1, 2026Opt-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.

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 Beverly Brooks's NPI number?

The NPI number for Beverly Brooks is 1326250978. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Beverly Brooks located?

Beverly Brooks practices at 660 Village Trce NE Bldg 18 Paper Mill Village Office Park, Marietta, GA 30067. The listed phone number is (678) 267-6054.

What is Beverly Brooks's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Beverly Brooks enrolled in Medicare?

No. Beverly Brooks has opted out of Medicare through September 1, 2026. 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 Beverly Brooks was last updated on May 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.