Individual provider Active NPI

Wynella Cherubin, MA CCC/SLP

  • Speech-Language Pathologist
  • Boca Raton, FL
National Provider Identifier
1386893162
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA9401 Issued in FL
Practice address
7777 Glades Rd
Suite 215
Boca Raton, FL 33434-4194
Phone
(561) 989-8595
NPI assigned
Sep 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA9401 FL Primary

Addresses

Primary practice location

7777 Glades Rd
Suite 215
Boca Raton, FL 33434-4194

Mailing address

1993 River Park Blvd
Orlando, FL 32817-4840
Phone (321) 217-7051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161015000275 VI Practitioner - Qualified Speech Language Pathologist 9537457072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4201 Estate Diamond Ruby
Christiansted, VI 00823-4431
Phone (340) 692-1515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SA9401FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
First Step Therapy CurrentSince May 28, 2016 Accepting new patients

Locations

4201 Estate Ruby
St Croix, VI 00820
Phone (340) 692-1515

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": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1386893162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1993 RIVER PARK BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328174840",
            "telephone_number": "321-217-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 GLADES RD",
            "address_2": "SUITE 215",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344194",
            "telephone_number": "561-989-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERUBIN",
        "first_name": "WYNELLA",
        "name_prefix": "Ms.",
        "credential": "MA CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.