Individual provider Active NPI

Alicia Ines Halberstein, MASTER IN SCIENCE

  • Speech-Language Pathologist
  • Miami Lakes, FL
National Provider Identifier
1184772873
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA13982 Issued in FL
Practice address
8181 NW 154TH St Ste 115
Miami Lakes, FL 33016-5861
Phone
(786) 447-5783
Fax
(305) 512-8805
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA13982 FL Primary

Addresses

Primary practice location

8181 NW 154TH St Ste 115
Miami Lakes, FL 33016-5861

Mailing address

2000 Atlantic Shores Blvd
#502
Hallandale Beach, FL 33009-2889
Phone (954) 454-5904

Other identifiers 1

IdentifierTypeStateIssuer
SA13982OtherFLDEPT. OF HEALTH STATE OF 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

State licenses

LicenseStateTypeSpecialty
SA13982FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1184772873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 ATLANTIC SHORES BLVD",
            "address_2": "#502",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092889",
            "telephone_number": "954-454-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 NW 154TH ST STE 115",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165861",
            "telephone_number": "786-447-5783",
            "fax_number": "305-512-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBERSTEIN",
        "first_name": "ALICIA",
        "middle_name": "INES",
        "name_prefix": "Ms.",
        "credential": "MASTER IN SCIENCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF HEALTH STATE OF FL.",
            "identifier": "SA13982",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.