Individual provider Active NPI

Jamie Hochberg, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Highland Park, IL
National Provider Identifier
1881259950
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146013649 Issued in IL
Practice address
316 Sumac Rd
Highland Park, IL 60035-4444
Phone
(847) 287-1563
NPI assigned
May 4, 2019
Last updated
Oct 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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 146013649 IL Primary

Addresses

Primary practice location

316 Sumac Rd
Highland Park, IL 60035-4444

Mailing address

316 Sumac Rd
Highland Park, IL 60035-4444
Phone (847) 287-1563

Other practice location 1

1936 Green Bay Rd
Highland Park, IL 60035-3112
Phone (847) 287-1563

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
146013649ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1556928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1881259950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 SUMAC RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354444",
            "telephone_number": "847-287-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 SUMAC RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354444",
            "telephone_number": "847-287-1563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1936 Green Bay Rd",
            "address_purpose": "LOCATION",
            "city": "Highland Park",
            "state": "IL",
            "postal_code": "600353112",
            "country_code": "US",
            "telephone_number": "847-287-1563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOCHBERG",
        "first_name": "JAMIE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-04",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146013649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.