Active NPI
Emily Bard Goldberg, M.S. CCC-SLP
- Speech-Language Pathologist
- Baltimore, MD
National Provider Identifier
1124585294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 08931
- Practice address
- 600 N. Wolfe Street
Jhu Dept. of Neurology 546
Baltimore, MD 21287 - Phone
- (410) 502-6045
- NPI assigned
- Feb 26, 2019
- 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 | 08931 | MD | Primary |
Addresses
Primary practice location
600 N. Wolfe Street
Jhu Dept. of Neurology 546
Baltimore, MD 21287
Mailing address
600 N. Wolfe Street
Jhu Dept. of Neurology 546
Baltimore, MD 21287
Phone (410) 502-6045
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 |
|---|---|---|---|
| 08931 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1124585294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N. WOLFE STREET",
"address_2": "JHU DEPT. OF NEUROLOGY 546",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21287",
"telephone_number": "410-502-6045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N. WOLFE STREET",
"address_2": "JHU DEPT. OF NEUROLOGY 546",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21287",
"telephone_number": "410-502-6045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "EMILY",
"middle_name": "BARD",
"name_prefix": "Ms.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-26",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "08931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.