Active NPI
Ellen Martha Greenblatt, MA CCC/SLP
- Speech-Language Pathologist
- Rockville, MD
National Provider Identifier
1306317821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 08630
- Practice address
- 10716 Pine Haven Ter
Rockville, MD 20852-3441 - Phone
- (732) 740-8115
- NPI assigned
- Dec 10, 2018
- 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 | 08630 | MD | Primary |
Addresses
Primary practice location
10716 Pine Haven Ter
Rockville, MD 20852-3441
Mailing address
10716 Pine Haven Ter
Rockville, MD 20852-3441
Phone (732) 740-8115
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 |
|---|---|---|---|
| 08630 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544400000000",
"number": "1306317821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10716 PINE HAVEN TER",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523441",
"telephone_number": "732-740-8115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10716 PINE HAVEN TER",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523441",
"telephone_number": "732-740-8115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBLATT",
"first_name": "ELLEN",
"middle_name": "MARTHA",
"name_prefix": "Ms.",
"credential": "MA CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-10",
"last_updated": "2018-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "08630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.