Individual provider Active NPI

Rebecca Goldberg, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Wellesley, MA
National Provider Identifier
1679133649
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
77291 Issued in MA
Practice address
59 Washburn Ave
Wellesley, MA 02481-5263
Phone
(617) 798-0280
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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 77291 MA Primary

Addresses

Primary practice location

59 Washburn Ave
Wellesley, MA 02481-5263

Mailing address

59 Washburn Ave
Wellesley, MA 02481-5263
Phone (617) 798-0280

Other practice location 1

57 Bedford St Ste 203
Lexington, MA 02420-4550
Phone (781) 862-8085

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
77291MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spot on Speech Therapy, Inc Speech-Language Pathologist CurrentSince Jan 7, 2024 Accepting new patients
Spot on Speech Therapy Speech-Language Pathologist CurrentSince Jul 13, 2025 Accepting new patients
Childrens Speech and Language Services LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 3

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1679133649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 WASHBURN AVE",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815263",
            "telephone_number": "617-798-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 WASHBURN AVE",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815263",
            "telephone_number": "617-798-0280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Bedford St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MA",
            "postal_code": "024204550",
            "country_code": "US",
            "telephone_number": "781-862-8085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "REBECCA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "77291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.