Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508292426 Individual Practitioner Female Practitioner

Brooke A. Boldt , MS CCC-SLP

Speech-Language Pathologist • Carthage, NY

Professional Overview & Biography Verified Profile Summary

Brooke Boldt, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Carthage, NY. Practice services are available at 25059 WOOLWORTH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

25059 Woolworth St

Carthage, NY 13619

Telephone 3154935000
Fax 3154937036
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Carthage, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Carthage, NY (25106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 023901

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Secondary Practice Locations

16783 Ives Street Ext

Watertown, NY 136015312

Phone: 3157885377

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Jeanne Stenoski

Registered Nurse - School

NPI 1023541661
Michelle Auricchio , RN

Registered Nurse

NPI 1508258187

Registered Nurse

Suzanne Fazekas , CCC-SLP

Speech-Language Pathologist

NPI 1912358557

Speech-Language Pathologist (Certificate of Clinical Competence)

Amanda Terrillion

Registered Nurse - School

NPI 1942816988

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 18, 2018

Registered at 25059 WOOLWORTH ST, CARTHAGE, NY 13619 (Tel: 3154935000)

📍
Updated Business Mailing Address September 18, 2018

Registered at 6859 SHADY AVE, CROGHAN, NY 133272241 (Tel: 3152866465)

👤
Provider Name / Credentials Updated September 18, 2018

Recorded as BROOKE BOLDT, M.S. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2018

Speech-Language Pathologist (License #023901 in NY)

NPI Profile Active September 24, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2013

Registered at 16783 IVES STREET EXT, WATERTOWN, NY 136015312 (Tel: 3157885377)

📍
Updated Business Mailing Address September 24, 2013

Registered at 7707 LOMBER RD, LOWVILLE, NY 133674703 (Tel: 3152866465)

👤
Provider Name / Credentials Updated September 24, 2013

Recorded as BROOKE GRUNERT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2013

Speech-Language Pathologist (License #1343223 in NY)

🟢
Initial NPI Registration & Enumeration September 24, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508292426
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2013
Last Update: September 18, 2018
Sole Proprietor: No

Mailing Address

6859 Shady Ave

Croghan, NY 133272241

Phone: 3152866465

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.