Active NPI
Debra Susan Goldman, M.S., CCCSLP
- Speech-Language Pathologist
- Andover, MA
National Provider Identifier
1114084902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3859
- Practice address
- 11 Chestnut St Ste 7
Andover, MA 01810-3724 - Phone
- (978) 296-4486
- Fax
- (978) 296-4448
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 3859 | MA | Primary |
Addresses
Primary practice location
11 Chestnut St Ste 7
Andover, MA 01810-3724
Mailing address
32 Lincoln Cir. E.
Andover, MA 01810
Phone (978) 470-1331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP 0038 | Other | MA | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3859 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Matters, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
11 Chestnut St
Ste 7
Andover, MA 01810
Phone (978) 296-4486
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.
-
- Speech-Language Pathologist
- Andover, MA
- NPI 1710401591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546300800000",
"number": "1114084902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 LINCOLN CIR. E.",
"city": "ANDOVER",
"state": "MA",
"postal_code": "01810",
"telephone_number": "978-470-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 CHESTNUT ST STE 7",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018103724",
"telephone_number": "978-296-4486",
"fax_number": "978-296-4448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "DEBRA",
"middle_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "M.S., CCCSLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2019-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "3859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "SP 0038",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.