Individual provider Active NPI

Ellen J Brewer

  • Speech-Language Pathologist
  • Great Barrington, MA
National Provider Identifier
1053549469
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2527 Issued in MA
Practice address
58 South St
Great Barrington, MA 01230-1809
Phone
(413) 528-9246
Fax
(413) 528-6283
NPI assigned
Jun 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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 2527 MA Primary

Addresses

Primary practice location

58 South St
Great Barrington, MA 01230-1809

Mailing address

58 South St
Great Barrington, MA 01230-1809
Phone (413) 528-9246

Other names 1

  • Ellen Joyce Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2527MAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245801600000",
    "number": "1053549469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 SOUTH ST",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301809",
            "telephone_number": "413-528-9246",
            "fax_number": "413-528-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 SOUTH ST",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301809",
            "telephone_number": "413-528-9246",
            "fax_number": "413-528-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "ELLEN",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "2527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "JOYCE",
            "credential": "CCC -SP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Great Barrington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.