Individual provider Active NPI

Brenda Schenkelberg, MA CCC-SLP

  • Speech-Language Pathologist
  • Long Beach, CA
National Provider Identifier
1013416205
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
26361 Issued in CA
Practice address
249 E Ocean Blvd Ste 400
Long Beach, CA 90802-4806
Phone
(888) 808-7838
Fax
(888) 808-7838
NPI assigned
Feb 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 26361 CA Primary

Addresses

Primary practice location

249 E Ocean Blvd Ste 400
Long Beach, CA 90802-4806

Mailing address

249 E Ocean Blvd Ste 400
Long Beach, CA 90802-4806
Phone (888) 808-7838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Jade & Associates, a Speech Pathology Corporation Speech-Language Pathologist Past Accepting new patients
H.D.P.R.G., Inc Speech-Language Pathologist PastSince Aug 1, 2015 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1013416205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 E OCEAN BLVD STE 400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024806",
            "telephone_number": "888-808-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 E OCEAN BLVD STE 400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024806",
            "telephone_number": "888-808-7838",
            "fax_number": "888-808-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENKELBERG",
        "first_name": "BRENDA",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "26361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.