Provider Demographics
NPI:1083146807
Name:CHOULET, BROOK (MD)
Entity Type:Individual
Prefix:DR
First Name:BROOK
Middle Name:
Last Name:CHOULET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BROOK
Other - Middle Name:
Other - Last Name:MEHREGANY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7373 N SCOTTSDALE RD STE C190
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-3754
Mailing Address - Country:US
Mailing Address - Phone:480-370-5656
Mailing Address - Fax:
Practice Address - Street 1:7373 N SCOTTSDALE RD STE C190
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85253-3754
Practice Address - Country:US
Practice Address - Phone:480-370-5656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-30
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1748972084P0800X
AZ602032084P0804X, 2084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry