Active NPI
Brynn Faith Dacher
- Speech-Language Pathologist
- Maspeth, NY
National Provider Identifier
1659816049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 008159-1
- Practice address
- 58-74 57TH Street
Walter Reed School-P009Q
Maspeth, NY 11378 - Phone
- (718) 526-6210
- NPI assigned
- Dec 21, 2016
- Last updated
- Dec 21, 2016
- 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 | 008159-1 | NY | Primary |
Addresses
Primary practice location
58-74 57TH Street
Walter Reed School-P009Q
Maspeth, NY 11378
Mailing address
58-74 57TH Street
P9 Walter Reed School
Maspeth, NY 11378
Phone (718) 526-6210
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008159-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482278400000",
"number": "1659816049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58-74 57TH STREET",
"address_2": "P9 WALTER REED SCHOOL",
"city": "MASPETH",
"state": "NY",
"postal_code": "11378",
"telephone_number": "718-526-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58-74 57TH STREET",
"address_2": "WALTER REED SCHOOL-P009Q",
"city": "MASPETH",
"state": "NY",
"postal_code": "11378",
"telephone_number": "718-526-6210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DACHER",
"first_name": "BRYNN",
"middle_name": "FAITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-21",
"last_updated": "2016-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "008159-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maspeth, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.