Active NPI
Susanne Greenbaum
- Speech-Language Pathologist
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP000870
- Practice address
- 223 7TH St NE
Washington, DC 20002-7045 - Phone
- (202) 546-5700
- NPI assigned
- Oct 10, 2017
- Last updated
- Feb 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP000870 | DC | Primary |
Addresses
Primary practice location
223 7TH St NE
Washington, DC 20002-7045
Mailing address
223 7TH St NE
Washington, DC 20002-7045
Phone (202) 546-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1330 Massachusetts Ave NW
Washington, DC 20005-4155
Phone (202) 626-5789
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP000870 | DC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabcare Group East, LLC | Current | Accepting new patients | |
| The Temple Foundation Inc | Current | Accepting new patients | |
| Rehabcare Group East LLC | Current | Accepting new patients |
Locations
1330 Massachusetts Ave NW
Washington, DC 20005
Phone (202) 223-0500
4299 Chantilly Shopping Center Dr
Ste 104
Chantilly, VA 20151
Phone (703) 844-0690
3020 Hamaker Ct
Ste 100
Fairfax, VA 22031
Phone (703) 844-6859
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Fairfax, VA
- NPI 1336366079
DC
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- Physical Medicine & Rehabilitation Physician
- Waco, TX
- NPI 1215806898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1053821561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 7TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200027045",
"telephone_number": "202-546-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 7TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200027045",
"telephone_number": "202-546-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBAUM",
"first_name": "SUSANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-10",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "DC",
"license": "SLP000870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.