CMG Speech Language Pathology PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

020071-1 Issued in NY

Legal business name

CMG SPEECH LANGUAGE PATHOLOGY PLLC

Practice address

1565 Richmond Rd Ste a
Staten Island, NY 10304-2331

Phone

(646) 267-9609

Fax

(315) 800-5932

NPI assigned

Nov 9, 2011

Last updated

Mar 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Christina Marie Goodheart, MA, CCC-SLPNPI 1346554318

Title

Owner

Phone

(646) 267-9609

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christina Marie Goodheart, MA, CCC-SLP

  • Speech-Language Pathologist
  • Staten Island, NY
  • NPI 1346554318
  Medicare reassignment Care Compare group Authorized official
• Zoe Dubner

  • Speech-Language Pathologist
  • Staten Island, NY
  • NPI 1194551184
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1437436029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 RICHMOND RD STE A",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042331",
            "telephone_number": "646-267-9609",
            "fax_number": "215-800-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 RICHMOND RD STE A",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042331",
            "telephone_number": "646-267-9609",
            "fax_number": "315-800-5932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Forest Rd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103042940",
            "country_code": "US",
            "telephone_number": "646-267-9609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CMG SPEECH LANGUAGE PATHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "GOODHEART",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-267-9609",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020071-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.