Elyse Goldshein, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA18967 Issued in FL

Practice address

1186 King St
Rye Brook, NY 10573-1069

Phone

(914) 937-3800

NPI assigned

Sep 30, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Mercy College, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aactivate LLC

  • Speech-Language Pathologist
  • North Palm Beach, FL
  • NPI 1962110809
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1811206469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NORTHLAKE BLVD STE 4",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085428",
            "telephone_number": "203-417-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 KING ST",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105731069",
            "telephone_number": "914-937-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSHEIN",
        "first_name": "ELYSE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016055-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA18967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111659600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "aactivatellc.com",
            "affiliation": "N",
            "address_1": "401 Northlake Blvd Ste 4",
            "city": "North Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334085428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jack Gigli, OTR/L
• Amanda Gitkind
• Shannen Marie Gleason
• Robert S Goldblatt, MD
• Eliot Goldman, PH.D.
• Michael S Goldstein, LCSW
• Amanda Goodman
• Joanne Barbara Gorski, PHD
• Suzann Patricia Gravius, C.R.N.A.
• Greenwich Oral and Maxillofacial Surgery Assoc.

• Speech-Language Pathologist in Rye Brook, NY
• Providers in Rye Brook, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.