Jill Maxine Feldbaum, MA-CCC,SP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL001548L Issued in PA

Practice address

8100 Roosevelt Blvd Ste 101
Philadelphia, PA 19152-2900

Phone

(215) 535-1314

Fax

(854) 424-2049

NPI assigned

Mar 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1376511816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 ROOSEVELT BLVD STE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522900",
            "telephone_number": "215-535-1314",
            "fax_number": "215-331-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 ROOSEVELT BLVD STE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522900",
            "telephone_number": "215-535-1314",
            "fax_number": "854-424-2049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8100 Roosevelt Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191522900",
            "country_code": "US",
            "telephone_number": "215-535-1314",
            "fax_number": "215-331-4208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELDBAUM",
        "first_name": "JILL",
        "middle_name": "MAXINE",
        "name_prefix": "Ms.",
        "credential": "MA-CCC,SP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL001548L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "SL001548L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Fekete, MD
• Ellen Dove Feld, M.D.
• Emily Feld, MD
• Noah Feld
• Rick I. Feld, M.D.
• Joshua Feldblyum
• Barbara Butala Felder, CRNP
• Jodie Felder, MS
• Joseph Lee Felder
• Alison Leigh Feldman, M.S., CCC-SLP

• Speech-Language Pathologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.