Individual provider Active NPI

Michelle Nayberg, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Boca Raton, FL
National Provider Identifier
1114642089
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL016650 Issued in PA
Practice address
11 Plaza Real S Apt 917
Boca Raton, FL 33432-4898
Phone
(267) 528-8600
NPI assigned
Oct 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL016650 PA Primary
Speech-Language Pathologist 235Z00000X SA21961 FL

Addresses

Primary practice location

11 Plaza Real S Apt 917
Boca Raton, FL 33432-4898

Mailing address

176 Gleniffer Hill Rd
Richboro, PA 18954-1367
Phone (267) 528-8600

Other practice location 1

176 Gleniffer Hill Rd
Richboro, PA 18954-1367
Phone (267) 528-8600

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
SA21961FLMDSpeech-Language Pathologist
SL016650PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1114642089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 GLENIFFER HILL RD",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541367",
            "telephone_number": "267-528-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PLAZA REAL S APT 917",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324898",
            "telephone_number": "267-528-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 Gleniffer Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Richboro",
            "state": "PA",
            "postal_code": "189541367",
            "country_code": "US",
            "telephone_number": "267-528-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAYBERG",
        "first_name": "MICHELLE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL016650",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA21961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.