Kelly Brennan, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00462800 Issued in NJ

Practice address

110 Hillside Blvd
Lakewood, NJ 08701-3932

Phone

(732) 813-4263

NPI assigned

Feb 7, 2022

Last updated

Feb 7, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Circle Care Services

  • Behavior Analyst
  • Highland Park, NJ
  • NPI 1215547088
  NPD (past)

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1669126819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 FANWOOD DR",
            "city": "SAYREVILLE",
            "state": "NJ",
            "postal_code": "088721843",
            "telephone_number": "908-217-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HILLSIDE BLVD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013932",
            "telephone_number": "732-813-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "KELLY",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00462800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eita Breiner
• Shaindel Sara Breiner
• Miriam Breitowitz
• Mary Patricia Breitwieser, C.N.M.
• Ashley Marie Brennan, BCABA
• Chaya Breslauer
• Aviva Shayna Bresler, OTR/L
• Tzivia Bresler
• Michelle Breuer
• Bridged Connections ABA LLC

• Speech-Language Pathologist in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.