Individual provider Active NPI

Evelyn Weinstein, MS, CCC-SLP

  • Speech-Language Pathologist
  • Southampton, PA
National Provider Identifier
1780073445
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL009809 Issued in PA
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

Updated by the provider on Apr 15, 2022

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 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 IDStateProvider typePAC IDDetails
I20220502002229 PA Practitioner - Qualified Speech Language Pathologist 8224424536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
031288NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Speak Ez Inc Speech-Language Pathologist Current Accepting new patients
Bright Start Therapy Inc. Speech-Language Pathologist CurrentSince May 1, 2024 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.

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.

Verify at the official NPI Registry.