Active NPI
Shelley Brandt Inc
- Speech-Language Pathologist
- North Palm Beach, FL
National Provider Identifier
1699079970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 8704
- Legal business name
- SHELLEY BRANDT INC
- Practice address
- 11911 US Highway 1
Suite 102
North Palm Beach, FL 33408-2827 - Phone
- (561) 694-7661
- Fax
- (561) 694-7691
- NPI assigned
- Dec 31, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shelley Brandt, M.S. CCC-SLP
- Title
- Owner/Speech-Language Pathologist
- Phone
- (561) 694-7661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 8704 | FL | Primary |
Addresses
Primary practice location
11911 US Highway 1
Suite 102
North Palm Beach, FL 33408-2827
Mailing address
1860 Kathy LN
North Palm Beach, FL 33408-3017
Phone (561) 694-7661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890527400 | Medicaid | FL |
Other names 1
- Palm Pediatric Therapy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293753600000",
"number": "1699079970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 KATHY LN",
"city": "NORTH PALM BEACH",
"state": "FL",
"postal_code": "334083017",
"telephone_number": "561-694-7661",
"fax_number": "561-694-7691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11911 US HIGHWAY 1",
"address_2": "SUITE 102",
"city": "NORTH PALM BEACH",
"state": "FL",
"postal_code": "334082827",
"telephone_number": "561-694-7661",
"fax_number": "561-694-7691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHELLEY BRANDT INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-31",
"last_updated": "2010-12-31",
"status": "A",
"authorized_official_last_name": "BRANDT",
"authorized_official_first_name": "SHELLEY",
"authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "561-694-7661",
"authorized_official_credential": "M.S. CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 8704",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890527400",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Palm Pediatric Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.