Active NPI
Ellen Stern, MS CCC SLP
- Speech-Language Pathologist
- Boca Raton, FL
National Provider Identifier
1124357199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA8231
- Practice address
- 7100 W. Camino Real
Suite 201
Boca Raton, FL 33433-5510 - Phone
- (561) 859-2010
- Fax
- (561) 963-1623
- NPI assigned
- Dec 21, 2009
- 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 | SA8231 | FL | Primary |
Addresses
Primary practice location
7100 W. Camino Real
Suite 201
Boca Raton, FL 33433-5510
Mailing address
7100 W. Camino Real
Suite 201
Boca Raton, FL 33433-5510
Phone (561) 859-2010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891363300 | Medicaid | FL |
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 |
|---|---|---|---|
| SA8231 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Spot 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": "1261353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261353600000",
"number": "1124357199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 W. CAMINO REAL",
"address_2": "SUITE 201",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334335510",
"telephone_number": "561-859-2010",
"fax_number": "561-963-1623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 W. CAMINO REAL",
"address_2": "SUITE 201",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334335510",
"telephone_number": "561-859-2010",
"fax_number": "561-963-1623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "MS CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-21",
"last_updated": "2009-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA8231",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891363300",
"state": "FL"
}
],
"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 Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.