Individual provider Active NPI

Paula K. Brandt, MS,SLP

  • Speech-Language Pathologist
  • Charleroi, PA
National Provider Identifier
1417188293
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL009633 Issued in PA
Practice address
301 Chamber Plaza
Diversified Human Services, Inc.
Charleroi, PA 15022
Phone
(724) 489-8096
Fax
(724) 489-9373
NPI assigned
Jul 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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 SL009633 PA Primary

Addresses

Primary practice location

301 Chamber Plaza
Diversified Human Services, Inc.
Charleroi, PA 15022

Mailing address

301 Chamber Plaza
Diversified Human Services, Inc.
Charleroi, PA 15022
Phone (724) 489-8096

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
SL009633PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Diversified Human Services, Inc. Speech-Language Pathologist Past Accepting new patients
Diversified Human Services, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1417188293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CHAMBER PLAZA",
            "address_2": "DIVERSIFIED HUMAN SERVICES, INC.",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "15022",
            "telephone_number": "724-489-8096",
            "fax_number": "724-489-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CHAMBER PLAZA",
            "address_2": "DIVERSIFIED HUMAN SERVICES, INC.",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "15022",
            "telephone_number": "724-489-8096",
            "fax_number": "724-489-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "PAULA",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "MS,SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL009633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleroi, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.