Individual provider Active NPI

Brynn Phalyn Katz, M.S., SLP,TSSLD

  • Speech-Language Pathologist
  • Rego Park, NY
National Provider Identifier
1346485182
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
017122-1 Issued in NY
Practice address
9745 Queens Blvd
Suite 900
Rego Park, NY 11374-2116
Phone
(718) 830-9274
Fax
(718) 830-9276
NPI assigned
Dec 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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 017122-1 NY Primary

Addresses

Primary practice location

9745 Queens Blvd
Suite 900
Rego Park, NY 11374-2116

Mailing address

33 Rock Hall Rd
Lawrence, NY 11559-1940
Phone (516) 225-7485

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
017122-1NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1346485182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ROCK HALL RD",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591940",
            "telephone_number": "516-225-7485",
            "fax_number": "646-386-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9745 QUEENS BLVD",
            "address_2": "SUITE 900",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742116",
            "telephone_number": "718-830-9274",
            "fax_number": "718-830-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "BRYNN",
        "middle_name": "PHALYN",
        "credential": "M.S., SLP,TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017122-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.