Brenda Cammon Mead, M.S. CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

003128-1 Issued in NY

Practice address

467 Central Park W
#3B
New York, NY 10025-3883

Phone

(212) 316-4549

Fax

(212) 316-4549

NPI assigned

Nov 30, 2008

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1228003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228003200000",
    "number": "1992950273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 CENTRAL PARK W",
            "address_2": "#3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253883",
            "telephone_number": "212-316-4549",
            "fax_number": "212-316-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 CENTRAL PARK W",
            "address_2": "#3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253883",
            "telephone_number": "212-316-4549",
            "fax_number": "212-316-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD",
        "first_name": "BRENDA",
        "middle_name": "CAMMON",
        "credential": "M.S. CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-30",
        "last_updated": "2008-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "003128-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MDP Optometry PC
• MDS Optometry and Ophthalmic Dispensing PLLC
• Me NP in Family Health PLLC
• Peter J Meacher, MD
• Ashley Mead, MHC-LP
• Elena Mead, M.D.
• Laura Mead, LCAT
• Nicholas Alexander Mead
• Peter Mead, MD
• Robert A Mead, PH.D.

• Speech-Language Pathologist in New York, NY
• Providers in New York, 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 Nov 30, 2008; 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.