Ellen Foster Mattingly, SLP.D., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA6347 Issued in FL

Practice address

2168 Jog Road
West Palm Beach, FL 33415

Phone

(561) 641-5757

Fax

(561) 641-7373

NPI assigned

Apr 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Creative Therapy Solutions LLC

  • Speech-Language Pathologist
  • West Palm Beach, FL
  • NPI 1811261928
  NPD Authorized official

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1144464207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2168 S JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334156093",
            "telephone_number": "561-641-5757",
            "fax_number": "561-641-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2168 JOG ROAD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33415",
            "telephone_number": "561-641-5757",
            "fax_number": "561-641-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "ELLEN",
        "middle_name": "FOSTER",
        "name_prefix": "Dr.",
        "credential": "SLP.D., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109652000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian John Matthews, D.C.
• Karen Matthews
• Laura Lee Matthews, OTR/L
• Laura Jean Mattiasen, LMHC
• Kennedy Mattila
• Deidre Mattis, BS
• Susan E Mattox, M.A.
• Alexander M Matute
• John David Matz Jr.
• Kili Mauga

• Speech-Language Pathologist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.