Individual provider Active NPI

Nicole B Brennan, MS, CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1346722667
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
250 Berry St
Brooklyn, NY 11249-4106
Phone
(718) 384-8063
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 Primary

Addresses

Primary practice location

250 Berry St
Brooklyn, NY 11249-4106

Mailing address

240 E 86TH St Apt 6K
New York, NY 10028-3012
Phone (917) 495-7185

Other practice location 1

470 Jackson Ave
Bronx, NY 10455-4711
Phone (718) 993-1870

Other practice location 2

677 E 141st St Rm 201
Bronx, NY 10454-2815
Phone (718) 585-4215

Other identifiers 1

IdentifierTypeStateIssuer
029007OtherNYNYS OFFICE OF PROFESSIONS SPEECH-LANGUAGE PATHOLOGY LICENSURE

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

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1346722667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E 86TH ST APT 6K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100283012",
            "telephone_number": "917-495-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BERRY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112494106",
            "telephone_number": "718-384-8063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104554711",
            "country_code": "US",
            "telephone_number": "718-993-1870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "677 E 141st St Rm 201",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104542815",
            "country_code": "US",
            "telephone_number": "718-585-4215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "NICOLE",
        "middle_name": "B",
        "credential": "MS, CCC-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2025-09-11",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS OFFICE OF PROFESSIONS SPEECH-LANGUAGE PATHOLOGY LICENSURE",
            "identifier": "029007",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.