Active NPI
Baila Brickman, SLP
- Speech-Language Pathologist
- Waterbury, CT
National Provider Identifier
1356176994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5081
- Practice address
- 47 Buckingham St FL 1
Waterbury, CT 06710-1900 - Phone
- (203) 800-4283
- Fax
- (203) 312-1287
- NPI assigned
- Sep 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5081 | CT | Primary |
Addresses
Primary practice location
47 Buckingham St FL 1
Waterbury, CT 06710-1900
Mailing address
47 Buckingham St FL 1
Waterbury, CT 06710-1900
Phone (203) 800-4283
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5081 | CT | MD | Acute Care Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1356176994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 BUCKINGHAM ST FL 1",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067101900",
"telephone_number": "203-800-4283",
"fax_number": "203-312-1287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 BUCKINGHAM ST FL 1",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067101900",
"telephone_number": "203-800-4283",
"fax_number": "203-312-1287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRICKMAN",
"first_name": "BAILA",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-04",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "5081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.