Active NPI
Basya Goldfeder, MA
- Speech-Language Pathologist
- Lincolnwood, IL
National Provider Identifier
1215318084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.003151
- Practice address
- 7358 N Lincoln Ave
Lincolnwood, IL 60712-1710 - Phone
- (847) 868-6531
- NPI assigned
- Jun 17, 2015
- Last updated
- Aug 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 242.003151 | IL | Primary |
Addresses
Primary practice location
7358 N Lincoln Ave
Lincolnwood, IL 60712-1710
Mailing address
7358 N Lincoln Ave
Lincolnwood, IL 60712-1710
Phone (847) 868-6531
Other practice location 1
6137 N Bernard St
Chicago, IL 60659-2211
Phone (847) 868-6531
Other practice location 2
6048 N Drake Ave
Chicago, IL 60659-3207
Phone (847) 868-6531
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
| License | State | Type | Specialty |
|---|---|---|---|
| 242.003151 | IL | MD | Speech-Language Pathologist |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Atlanta, GA
- NPI 1730888934
-
- Speech-Language Pathologist
- Dallas, TX
- NPI 1124703327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1215318084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7358 N LINCOLN AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121710",
"telephone_number": "847-868-6531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7358 N LINCOLN AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121710",
"telephone_number": "847-868-6531"
}
],
"practiceLocations": [
{
"address_1": "6137 N Bernard St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606592211",
"country_code": "US",
"telephone_number": "847-868-6531",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6048 N Drake Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606593207",
"country_code": "US",
"telephone_number": "847-868-6531",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDFEDER",
"first_name": "BASYA",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-17",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.003151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.