Brooke Nicole Rosenthal, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146008327 Issued in IL

Practice address

4 Rocket Dr
Rochester, IL 62563-9282

Phone

(217) 498-9778

NPI assigned

Aug 30, 2017

Last updated

Aug 30, 2017By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Rochester Community Unit School District #3a

  • Local Education Agency (LEA)
  • Rochester, IL
  • NPI 1649375668
  NPD (past)

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504051200000",
    "number": "1679091672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8293 MINE AVE",
            "city": "MORRISONVILLE",
            "state": "IL",
            "postal_code": "625466010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ROCKET DR",
            "city": "ROCHESTER",
            "state": "IL",
            "postal_code": "625639282",
            "telephone_number": "217-498-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "BROOKE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guinevere B Reserva, AMT
• Erin Elizabeth Rife, MS CCC-SLP
• Rochester Chiropractic Clinic, LLC
• Rochester Community Unit School District #3a
• Christina Marie Rollins, RDN
• Erin Renee Schafer, M.D.
• Jennifer L Scott, APRN
• Bruce E Semans, MD
• SLP Counseling Services
• Michael David Speck, PHARMD

• Speech-Language Pathologist in Rochester, IL
• Providers in Rochester, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.