Sharon Lynn Rosenbloom, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146010081 Issued in IL

Practice address

3732 N Wayne Ave Apt 1
Chicago, IL 60613-7160

Phone

(847) 404-7858

Fax

(224) 655-2213

NPI assigned

Jun 21, 2016

Last updated

Jun 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Copes Special Needs Services LLP

  • Speech-Language Pathologist
  • Chicago, IL
  • NPI 1922545292
  Authorized official Same address or phone

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1407206345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 N WAYNE AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606137160",
            "telephone_number": "847-404-7858",
            "fax_number": "224-655-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3732 N WAYNE AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606137160",
            "telephone_number": "847-404-7858",
            "fax_number": "224-655-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLOOM",
        "first_name": "SHARON",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146010081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan I. Rosenblatt, M.D.
• Hannah Grace Rosenblatt, LCSW
• Jeffrey Rosenblatt, D.O.
• Emily Jones Simon Rosenbloom, LCSW
• Sarah Kathryn Rosenbloom, PH.D.
• Regina Rosenbrock
• Ellen King Rosendale, MSW
• David Rosenfeld, M.D.
• Hannah Rosenfeld, LCSW
• Honey Beckett Rosenfeld, LCSW

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.