Brooke Mellady Dooley

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.9047 Issued in SC

Practice address

421 Barony St Ste 3
Moncks Corner, SC 29461-3145

Phone

(843) 790-4093

NPI assigned

Sep 27, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Vantage Early Intervention, LLC

  • Early Intervention Provider Agency
  • Moncks Corner, SC
  • NPI 1033941356
  NPD
• Vantage Speech & Language LLC

  • Speech-Language Pathologist
  • Moncks Corner, SC
  • NPI 1063907731
  NPD

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1245058437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 RIVER HAVEN CIR APT S",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124120",
            "telephone_number": "812-593-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 BARONY ST STE 3",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613145",
            "telephone_number": "843-790-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "BROOKE",
        "middle_name": "MELLADY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "SLP.9047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly W Dixon, OTR/L
• Stacie Marie Dizzley-Streeter
• Tiffany S Doctor, LMSW
• Doctors Care SC, PA
• Donald S. Kilpatrick, M.D.,P.a.
• John M Dorman, LPC
• Holly Dougharty
• Dr. Craig Thomas, LLC
• Dr. Terry D. Johnson, P.a.
• DRS. Kunkle and Powell, PA

• Speech-Language Pathologist in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Speech-Language Pathologist in South Carolina

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