Active NPI
Rebecca Spielberg
- Speech-Language Pathologist
- Poughkeepsie, NY
National Provider Identifier
1255866562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 028208-1
- Practice address
- 17 Levine LN Unit 1701
Poughkeepsie, NY 12603-6461 - Phone
- (845) 750-3485
- NPI assigned
- Apr 24, 2017
- 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 | 028208-1 | NY | Primary |
Addresses
Primary practice location
17 Levine LN Unit 1701
Poughkeepsie, NY 12603-6461
Mailing address
17 Levine LN Unit 1701
Poughkeepsie, NY 12603-6461
Phone (845) 750-3485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255866562 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 028208-1 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1255866562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 LEVINE LN UNIT 1701",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126036461",
"telephone_number": "845-750-3485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 LEVINE LN UNIT 1701",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126036461",
"telephone_number": "845-750-3485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIELBERG",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-24",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "028208-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255866562",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.