Brooks Speech Language Therapy Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 487 Issued in AR

Legal business name

BROOKS SPEECH LANGUAGE THERAPY SERVICES

Practice address

1117 Tapp Rd
Van Buren, AR 72956-6844

Phone

(321) 501-0282

NPI assigned

Sep 24, 2013

Last updated

Sep 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sydney Brooks Mason, CCC-SLP

Title

Speech/Language Pathologist

Phone

(321) 501-0282

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sydney Brooks, CCC-SLP

  • Speech-Language Pathologist
  • Van Buren, AR
  • NPI 1417914482
  NPD (past)

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1144656042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 TAPP RD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729566844",
            "telephone_number": "321-501-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 TAPP RD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729566844",
            "telephone_number": "321-501-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS SPEECH LANGUAGE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_middle_name": "BROOKS",
        "authorized_official_title_or_position": "SPEECH/LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "321-501-0282",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP 487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116145721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "56203",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Boyd
• Cherie Brasuell, PTA
• Brent V. Witherington, M.D. P. a.
• Chyanne Brickell
• Chloe Britt
• Ashley Beth Brooks
• Sydney Brooks, CCC-SLP
• Emily Brown
• Erin Brown
• Jason Q Brown

• Speech-Language Pathologist in Van Buren, AR
• Providers in Van Buren, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.