Brooke Males Koscheka

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

458885101 Issued in NY

Practice address

28991 Old Town Front St Ste 101
Temecula, CA 92590-2858

Phone

(516) 477-4041

NPI assigned

Apr 14, 2011

Sex

Female

Sole proprietor

Yes

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

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.

• JJ Kemp Enterprises

  • Pediatric Occupational Therapist
  • Temecula, CA
  • NPI 1578936225
  NPD (past)

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1295025948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41603 EAGLE POINT WAY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925917950",
            "telephone_number": "516-477-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28991 OLD TOWN FRONT ST STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902858",
            "telephone_number": "516-477-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSCHEKA",
        "first_name": "BROOKE",
        "middle_name": "MALES",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "458885101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Korbal, MD
• Brenda Rose Koreerat
• Caroline Lamb Kornelsen
• Morgan Elizabeth Korte, MED, BCBA, LBA
• Christine Jennifer Kortenhoeven, L.M.F.T.
• Corranda Kosciolek, FNP-BC, DHA
• Jason Kovacs
• David Wright Kowallis, P.A.
• Michael Brian Krapes, PSY.D.
• Kyndra Krebs

• Speech-Language Pathologist in Temecula, CA
• Providers in Temecula, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.