Active NPI
Hannah Marjorie Brophy, M.S, CCC-SLP
- Speech-Language Pathologist
- Walnut Creek, CA
National Provider Identifier
1578186300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22007075A
- Practice address
- 2021 Ygnacio Valley Rd Ste C202
Walnut Creek, CA 94598-3392 - Phone
- (925) 945-1474
- NPI assigned
- May 27, 2020
- 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 | 22007075A | IN | Primary |
Addresses
Primary practice location
2021 Ygnacio Valley Rd Ste C202
Walnut Creek, CA 94598-3392
Mailing address
1017 Jena Ter
Sunnyvale, CA 94089-2109
Phone (630) 362-4240
Other practice location 1
5701 Brill Rd
Indianapolis, IN 46227-1908
Phone (317) 789-3600
Other practice location 2
261 Anniston Dr
Indianapolis, IN 46227-5522
Phone (317) 789-3300
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22007075A | IN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Speech Pathology Group, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Early Intervention Provider Agency
- Walnut Creek, CA
- NPI 1225378532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1578186300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 JENA TER",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940892109",
"telephone_number": "630-362-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 YGNACIO VALLEY RD STE C202",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983392",
"telephone_number": "925-945-1474"
}
],
"practiceLocations": [
{
"address_1": "5701 Brill Rd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462271908",
"country_code": "US",
"telephone_number": "317-789-3600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "261 Anniston Dr",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462275522",
"country_code": "US",
"telephone_number": "317-789-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROPHY",
"first_name": "HANNAH",
"middle_name": "MARJORIE",
"name_prefix": "Miss",
"credential": "M.S, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-27",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22007075A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.