Gestalt Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

GESTALT SPEECH THERAPY

Practice address

1115 11TH St NW
Albuquerque, NM 87104-2105

Phone

(925) 577-5512

NPI assigned

Mar 20, 2025

Last updated

Mar 20, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brenna FischNPI 1104574383

Title

SLP

Phone

(925) 577-5512

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenna Fisch

  • Speech-Language Pathologist
  • Albuquerque, NM
  • NPI 1104574383

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1366243958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 11TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871042105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 11TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871042105",
            "telephone_number": "925-577-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GESTALT SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "FISCH",
        "authorized_official_first_name": "BRENNA",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "925-577-5512"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neal S Gerstein, MD
• Wendy Hawks Gerstein, M.D.
• Gloria Isabel Gerstner, DPM MS
• Carole Eva Gervais, M.D.
• Luke M Gessel, M.D.
• Aaron J Geswaldo, DO
• Elena Altagracia Gettis
• Sarah Gettler
• Heather Getty
• Alexis Nicole Geuss

• Speech-Language Pathologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.