Shelby M Brand

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

028371 Issued in NY

Practice address

26121 US Route 11 Ste 1
Evans Mills, NY 13637-3283

Phone

(315) 221-5101

Fax

(315) 681-4613

NPI assigned

Dec 26, 2018

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

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 and National Provider Directory roles.

• Exceptional Kidz Rehabilitation

  dba Exceptional Therapies

  • Speech-Language Pathologist
  • Pemberton, NJ
  • NPI 1467738492
  NPD (past)

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1760954119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26121 US ROUTE 11 STE 1",
            "city": "EVANS MILLS",
            "state": "NY",
            "postal_code": "136373283",
            "telephone_number": "315-221-5101",
            "fax_number": "315-681-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26121 US ROUTE 11 STE 1",
            "city": "EVANS MILLS",
            "state": "NY",
            "postal_code": "136373283",
            "telephone_number": "315-221-5101",
            "fax_number": "315-681-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAND",
        "first_name": "SHELBY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "028371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Joseph Ben, M.D.
• Sara Lynn Bice
• Bobbi L Petranchuk LCSW PLLC
• David Stetson Bombard, R.PH.
• Sarah Boston, PT, DPT
• Anthony Robert Britton, DO
• Dustin S Buckingham, PHARMD
• John James Burnett, DO
• Joshua Butler
• Sarah Byers

• Speech-Language Pathologist in Evans Mills, NY
• Providers in Evans Mills, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.