Theresa Goncalves, M.S., CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP01641 Issued in RI

Practice address

103 Carnegie Ctr
Princeton, NJ 08540-6235

Phone

(855) 274-9582

NPI assigned

Jan 21, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1912659871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 WEEDEN AVE",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029161736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CARNEGIE CTR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406235",
            "telephone_number": "855-274-9582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 S Main St",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027215327",
            "country_code": "US",
            "telephone_number": "508-679-5233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Howard Ave",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029203031",
            "country_code": "US",
            "telephone_number": "401-462-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONCALVES",
        "first_name": "THERESA",
        "credential": "M.S., CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "78088",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "RI",
            "license": "SP01641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidney Jacob Goldfarb, MD
• Laura Jeanne Goldsmith, ATC
• Henry Howard Goldstein, MD
• Ruth B Goldston, PH.D.
• Jason Goncalves, PT, DPT
• Janice K. Goode, DVM
• Carol D Goodheart, ED.D.
• Barbara Goodman, LSW
• Sweta Goradia, PA
• Joan B Gottfried, MSW

• Speech-Language Pathologist in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.