Active NPI
Phyllis Faythe Goldstein, SLP
- Speech-Language Pathologist
- Delray Beach, FL
National Provider Identifier
1508559337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA20048
- Practice address
- 7643 Eagle Point Dr
Delray Beach, FL 33446-3484 - Phone
- (410) 382-9000
- NPI assigned
- May 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | SA20048 | FL | Primary |
Addresses
Primary practice location
7643 Eagle Point Dr
Delray Beach, FL 33446-3484
Mailing address
7643 Eagle Point Dr
Delray Beach, FL 33446-3484
Phone (410) 382-9000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA20048 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685318400000",
"number": "1508559337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7643 EAGLE POINT DR",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334463484",
"telephone_number": "410-382-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7643 EAGLE POINT DR",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334463484",
"telephone_number": "410-382-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "PHYLLIS",
"middle_name": "FAYTHE",
"name_prefix": "Miss",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-29",
"last_updated": "2023-05-29",
"certification_date": "2023-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA20048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.