Michele Brancolini, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

024251-1 Issued in NY

Practice address

248 W 35TH St
New York, NY 10001-2505

Phone

(212) 453-0036

NPI assigned

Jun 26, 2015

Last updated

Jun 26, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY, FL2 enrollments

Enrollment records 2

Specialty

Qualified Speech Language Pathologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1578945523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 W 35TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012505",
            "telephone_number": "212-453-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 W 35TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012505",
            "telephone_number": "212-453-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCOLINI",
        "first_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "024251-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley T Branch, PHARMACIST
• Hazel C Branche, LMSW
• Joshua Brancheau
• Branches Wellness Services, LCSW, PLLC
• Gabrielle Loren Branciforti
• Brand Health LLC
• Brand Therapy Psychological Services PC
• Dorothy F Brand, LMSW
• Ellen J Brand, O.D.
• Idelle Brand, DDS

• Speech-Language Pathologist in New York, NY
• Providers in New York, 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 Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.