Jennifer Colleen Brickley, MA,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

15077 Issued in CA

Practice address

4755 Jerry Way
Sacramento, CA 95819-2255

Phone

(916) 731-4211

NPI assigned

Feb 19, 2008

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Synergy Speech Therapy LLC

  • Hearing and Speech Clinic/Center
  • Granite Bay, CA
  • NPI 1134787302
  Medicare reassignment NPD
• Developmental Occupational Therapy

  • Pediatric Occupational Therapist
  • Sacramento, CA
  • NPI 1922483122
  NPD (past)

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1619145083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 JERRY WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958192255",
            "telephone_number": "916-731-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 JERRY WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958192255",
            "telephone_number": "916-731-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKLEY",
        "first_name": "JENNIFER",
        "middle_name": "COLLEEN",
        "credential": "MA,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian T. Kim, DDS, Inc.
• Decarina Esmeralda Briancesco
• Frances Eileen Briare, FNP
• Briarwood Post Acute LLC
• Whitney Bricker
• Bridge Home Health Solano LLC
• Bridgedpsych Educational Psychology Professional Corporation
• Courtney Bridgeman
• Bridgette Bridgers
• Bridges Family Counseling Inc.

• Speech-Language Pathologist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.