Active NPI
Evelyn Weinstein, MS, CCC-SLP
- Speech-Language Pathologist
- Southampton, PA
National Provider Identifier
1780073445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL009809
- Practice address
- 510 Steamboat Dr
Southampton, PA 18966-3059 - Phone
- (347) 523-0303
- NPI assigned
- Jan 20, 2015
- Sex
- Female
- Sole proprietor
- No
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 | SL009809 | PA | Primary |
Addresses
Primary practice location
510 Steamboat Dr
Southampton, PA 18966-3059
Mailing address
9501 State Rd
Philadelphia, PA 19114-3053
Phone (215) 632-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220502002229 | PA | Practitioner - Qualified Speech Language Pathologist | 8224424536 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031288 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speak Ez Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Bright Start Therapy Inc. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2600 Philmont Ave
Ste 111
Huntingdon Valley, PA 19006
Phone (215) 647-2112
Organizations & group practices 2
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.
-
- Pediatric Rehabilitation Medicine Physician
- Huntingdon Valley, PA
- NPI 1558126417
Speech-Language Pathologist
-
- Speech-Language Pathologist
- Southampton, PA
- NPI 1972336360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1780073445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9501 STATE RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191143053",
"telephone_number": "215-632-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 STEAMBOAT DR",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189663059",
"telephone_number": "347-523-0303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINSTEIN",
"first_name": "EVELYN",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-20",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL009809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southampton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.