Provider Demographics
NPI:1194696617
Name:DR BROOKE BELLOMIO PSYCHOLOGIST APC
Entity type:Organization
Organization Name:DR BROOKE BELLOMIO PSYCHOLOGIST APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BELLOMIO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:760-410-8239
Mailing Address - Street 1:2945 HARDING ST STE 203B
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-1818
Mailing Address - Country:US
Mailing Address - Phone:760-410-8239
Mailing Address - Fax:
Practice Address - Street 1:2945 HARDING ST STE 203B
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1818
Practice Address - Country:US
Practice Address - Phone:760-410-8239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health