Individual provider Active NPI

Janel Leifer Brenneman, MS, CCC-SLP

  • Speech-Language Pathologist
  • Concord, CA
National Provider Identifier
1225375116
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30717 Issued in CA
Practice address
1440 Washington Blvd Ste A5
Concord, CA 94521-4098
Phone
(925) 966-2173
NPI assigned
Jan 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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 30717 CA Primary

Addresses

Primary practice location

1440 Washington Blvd Ste A5
Concord, CA 94521-4098

Mailing address

5333 Park Highlands Blvd Apt 41
Concord, CA 94521-3719
Phone (310) 433-5010

Other names 1

  • Ms. Janel Brand Leifer 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
30717CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy at Play, Inc Speech-Language Pathologist PastSince Jul 1, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1225375116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 PARK HIGHLANDS BLVD APT 41",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945213719",
            "telephone_number": "310-433-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 WASHINGTON BLVD STE A5",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945214098",
            "telephone_number": "925-966-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNEMAN",
        "first_name": "JANEL",
        "middle_name": "LEIFER",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-11",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "30717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANEL",
            "last_name": "LEIFER",
            "middle_name": "BRAND",
            "prefix": "MS.",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.