Chaya Brenner

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6376 Issued in MD

Practice address

6414 Park HTS
Suite T1
Baltimore, MD 21215-3055

Phone

(410) 318-8561

Fax

(866) 840-6040

NPI assigned

Feb 15, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Chaya Goldman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1003113754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 BANCROFT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153227",
            "telephone_number": "410-358-1997",
            "fax_number": "866-840-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6414 PARK HTS",
            "address_2": "SUITE T1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153055",
            "telephone_number": "410-318-8561",
            "fax_number": "866-840-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "CHAYA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "6376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAYA",
            "last_name": "GOLDMAN",
            "credential": "CCC SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luke Brennan, PH.D.
• Margaret Mary Brennan, M.D.
• Nancyellen Brennan, C.R.N.P.
• Cecilia Margaret Brennecke, M.D.
• Mary Brenneman, LCSW-C
• Joel I Brenner, M.D.
• Kimberly Ann Brenninkmeyer, PH.D.
• James L Bresette, PHARM.D.
• Irine Breslaw, PA
• Nicholas Breslin-Spinnato, MLS(ASCP)

• Speech-Language Pathologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.