Stephanie Bruckman, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

021391-1 Issued in NY

Practice address

1 Bernabi Rd
Spencerport, NY 14559-1800

Phone

(585) 349-5455

NPI assigned

Sep 14, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Spencerport School District

  • Student Health Clinic/Center
  • Spencerport, NY
  • NPI 1538433511
  NPD (past)

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1437431608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BERNABI RD",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591800",
            "telephone_number": "585-349-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BERNABI RD",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591800",
            "telephone_number": "585-349-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCKMAN",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021391-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021391-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Allen Brinkel, RPH
• Lynnette Brookes, R.N
• Cory Ann Brosch, LMHC
• Patricia W. Brown, RN
• Terri Jean Brown, OTR/L
• Camryn Taylor Brush, M.S. CCC-SLP
• Terry L Butler, PT
• Ashley Capaldo
• Carol E. Horowitz, LCSW, LLC
• Jamie Carr, LMFT

• Speech-Language Pathologist in Spencerport, NY
• Providers in Spencerport, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.