Julie Brinkman

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

33600 Issued in CA

Practice address

1058 Redwood Hwy Frontage Rd
Mill Valley, CA 94941-1621

Phone

(415) 924-2444

NPI assigned

Jun 16, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Brightside Speech Therapy

  • Hearing and Speech Clinic/Center
  • Lafayette, CA
  • NPI 1225872336
  NPD Authorized official
• Dba Child Development Center of Marin

  • Hearing and Speech Clinic/Center
  • Mill Valley, CA
  • NPI 1780441949
  NPD
• Eyas Landing, Inc.

  • Early Intervention Provider Agency
  • Chicago, IL
  • NPI 1053621391

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1891363669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 REDWOOD HWY FRONTAGE RD",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411621",
            "telephone_number": "415-924-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 REDWOOD HWY FRONTAGE RD",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411621",
            "telephone_number": "415-924-2444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1409 W Carroll Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606071105",
            "country_code": "US",
            "telephone_number": "312-733-0883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINKMAN",
        "first_name": "JULIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.006020",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "33600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Vera Branham, C.N.M., M.S.N.
• Carolyn H Bray, PHD
• Lisa Christine Brent, N.D.
• Lawrence Brent Brilliant, M.D.
• Mary Rachel Brinker, D.M.D.
• Marti J Briscoe, PSY.D.
• Vivian Marie Broadway-Firmage, DDS
• Amie Brooke, LIC. AC.
• Thomas Brookshire, P.A.
• Jonathan Brown, PHD, MFT

• All providers in Mill Valley, CA
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.