Individual provider Active NPI

Esa Robbin Madoff, M.S.,CCC-SLP

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1093983579
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
19063 Issued in TX
Practice address
11001 Hammerly Blvd
Houston, TX 77043-1913
Phone
(713) 935-9088
Fax
(713) 935-0654
NPI assigned
Feb 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 19063 TX Primary

Addresses

Primary practice location

11001 Hammerly Blvd
Houston, TX 77043-1913

Mailing address

11001 Hammerly Blvd
Houston, TX 77043-1913
Phone (713) 935-9088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
19063TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carruth Center at the Parish School, Inc Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203292800000",
    "number": "1093983579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 HAMMERLY BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770431913",
            "telephone_number": "713-935-9088",
            "fax_number": "713-935-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 HAMMERLY BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770431913",
            "telephone_number": "713-935-9088",
            "fax_number": "713-935-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADOFF",
        "first_name": "ESA",
        "middle_name": "ROBBIN",
        "name_prefix": "Mrs.",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "19063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

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