Mackenzie Brinkmann
Individual provider Active NPI Speech-Language Pathologist · Belfast, NY
NPI 1245063007 · NPPES record last updated Sep 3, 2026
Key facts
- NPI
- 1245063007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 034481-01 (NY)
- Practice address
- 1 King St
Belfast, NY 14711-8682 - Phone
- (585) 365-2646
- NPI assigned
- Aug 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034481-01 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belfast Central School | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 034481-01 | NY | Yes |
Addresses
Primary practice location
1 King St
Belfast, NY 14711-8682
Mailing address
1 King St
Belfast, NY 14711-8682
Other providers in Belfast, NY
- Crystal Joy-Karry Amidon
- Belfast Central School
- Susan Marie Carrier
- Donna Jean Cometa
- Erin E Cooper
- Genevieve Cox
- Amy Rae Giboo
All providers in Belfast, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.