Active NPI
Linda Haas Gottlieb, SLP
- Speech-Language Pathologist
- Woodbridge, CT
National Provider Identifier
1699810499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 000755
- Practice address
- 15 June St
Woodbridge, CT 06525-2238 - Phone
- (203) 387-1779
- NPI assigned
- Feb 20, 2007
- 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 | 000755 | CT | Primary |
Addresses
Primary practice location
15 June St
Woodbridge, CT 06525-2238
Mailing address
22 Beechwood Rd
Woodbridge, CT 06525-1331
Phone (203) 387-1779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 660000755CT02 | Other | CT | INSURANCE PROVIDER NUMBER |
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 |
|---|---|---|---|
| 000755 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699810499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 BEECHWOOD RD",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "065251331",
"telephone_number": "203-387-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 JUNE ST",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "065252238",
"telephone_number": "203-387-1779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTLIEB",
"first_name": "LINDA",
"middle_name": "HAAS",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "000755",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE PROVIDER NUMBER",
"identifier": "660000755CT02",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.