Colleen Brennan

Primary specialty

SpecialistTaxonomy code 174400000X

License

1249365 Issued in NY

Practice address

261 Washington Ave
Pleasantville, NY 10570-2038

Phone

(845) 721-4961

NPI assigned

Mar 18, 2018

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

• Colleen Sullivan Other 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": "1521331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521331200000",
    "number": "1013410828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 WASHINGTON AVE",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702038",
            "telephone_number": "845-721-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 WASHINGTON AVE",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702038",
            "telephone_number": "845-721-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "COLLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-18",
        "last_updated": "2018-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1249365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "SULLIVAN",
            "credential": "MS ED",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sharon Brady, M.S. ED M.A. CCC-SLP
• Albertus Braislford
• Mary P Bramswig, RN
• Andre Brandt
• Mary Breen, LCSW
• Anne Bresnahan, CASAC
• Yung R Brinney II
• Ben Bristol, MD
• Josephine Broccio, PA-C
• Lynne M Brody, M.D.

• Specialist in Pleasantville, NY
• Providers in Pleasantville, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2018; 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.