Individual provider Active NPI

Shelly Brands, CCC-SLP

  • Speech-Language Pathologist
  • Moon Township, PA
National Provider Identifier
1205236221
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL011958 Issued in PA
Practice address
993 Brodhead Rd
Moon Township, PA 15108-2331
Phone
(412) 474-3566
NPI assigned
Aug 27, 2014
Last updated
Aug 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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 SL011958 PA Primary

Addresses

Primary practice location

993 Brodhead Rd
Moon Township, PA 15108-2331

Mailing address

2893 Banksville Rd
Pittsburgh, PA 15216-2815
Phone (412) 572-6761

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
SL011958PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy Source Speech-Language Pathologist CurrentSince Apr 23, 2023 Accepting new patients

Locations

800 Bursca Dr
Ste 804
Bridgeville, PA 15017
Phone (412) 408-6177

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1205236221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2893 BANKSVILLE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152162815",
            "telephone_number": "412-572-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 BRODHEAD RD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082331",
            "telephone_number": "412-474-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDS",
        "first_name": "SHELLY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moon Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.