Organization Active NPI

Shelley Brandt Inc

  • Speech-Language Pathologist
  • North Palm Beach, FL
National Provider Identifier
1699079970
Registry record updated Dec 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 8704 Issued in FL
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

Updated by the provider on Dec 31, 2010

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
890527400MedicaidFL

Other names 1

  • Palm Pediatric Therapy Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.