Brooks J Balcer, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

021565 Issued in NY

Practice address

38 W Church St
Fairport, NY 14450-2176

Phone

(585) 421-2000

Fax

(585) 421-8114

NPI assigned

Dec 19, 2011

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

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.

• Fairport Central School District

  • Local Education Agency (LEA)
  • Fairport, NY
  • NPI 1538213772
  NPD (past)
• Western New York Speech-Language Pathology, OT, and PT Consultants

  • Early Intervention Provider Agency
  • Victor, NY
  • NPI 1386812550

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1376812552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 W CHURCH ST",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144502130",
            "telephone_number": "585-421-2000",
            "fax_number": "585-421-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 W CHURCH ST",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144502176",
            "telephone_number": "585-421-2000",
            "fax_number": "585-421-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCER",
        "first_name": "BROOKS",
        "middle_name": "J",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-19",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara L Babiarz
• Danielle Bailey, LPN
• Jessica Lynn Bailey, COTA
• Larisa Baird
• Angela M Baker
• Eileen Margaret Balistere
• Kathryn Ann Bamford, PHD
• Khadejha Keiona Banton
• Nicole Kathleen Barattini, SLP
• Karen Jeanne Barner

• All providers in Fairport, NY
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.