Rebecca L Brown, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22513 Issued in CA

Practice address

450 Country Club Dr
Apt C
Simi Valley, CA 93065

Phone

(805) 843-7615

NPI assigned

Jan 5, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1902953243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 COUNTRY CLUB DR APT C",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656647",
            "telephone_number": "805-843-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 COUNTRY CLUB DR",
            "address_2": "APT C",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93065",
            "telephone_number": "805-843-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "22513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42561600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stewart I Brooks, MD
• Brooks, Tashman, Medical Corporation
• Carole Lee Brookshire, MFT 115869
• Nicole Christine Brown, IBCLC
• Nicolette Brown, MT-BC
• Mark Neil Bruckner, M.D.
• Richard Bruckner, D.D.S.
• Taya Lynn Bruininga
• Susan Bruno, D.C.
• Amanda Brusca

• Speech-Language Pathologist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.