Individual provider Active NPI

Stacie Schneider, MA/CCC-SLP

  • Local Education Agency (LEA)
  • Greenvale, NY
National Provider Identifier
1194153734
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
009480-1 Issued in NY
Practice address
3 Glen Cove Rd
Greenvale, NY 11548-1323
Phone
(516) 801-5400
NPI assigned
Oct 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 009480-1 NY Primary

Addresses

Primary practice location

3 Glen Cove Rd
Greenvale, NY 11548-1323

Mailing address

30 Westwood Dr Apt 58
Westbury, NY 11590-1607
Phone (516) 801-5100

Other identifiers 1

IdentifierTypeStateIssuer
01382067MedicaidNY

Other names 1

  • Ms. Stacie Goldenberg Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
009480-1NYMDLocal Education Agency (LEA)

Practice roles

OrganizationSpecialtyStatusNew patients
Roslyn Ufsd Local Education Agency (Lea) 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": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1194153734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WESTWOOD DR APT 58",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901607",
            "telephone_number": "516-801-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GLEN COVE RD",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481323",
            "telephone_number": "516-801-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "STACIE",
        "name_prefix": "Ms.",
        "credential": "MA/CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "009480-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01382067",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIE",
            "last_name": "GOLDENBERG",
            "prefix": "MS.",
            "credential": "MA/CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenvale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.