Individual provider Active NPI

Andrea Gottlieb, MS CCC/SLP

  • Speech-Language Pathologist
  • Delray Beach, FL
National Provider Identifier
1932336286
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA5309 Issued in FL
Practice address
790 Andrews Ave Apt C206
Delray Beach, FL 33483-7260
Phone
(561) 329-7434
Fax
(561) 278-6468
NPI assigned
Jun 14, 2009
Last updated
Nov 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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 SA5309 FL Primary

Addresses

Primary practice location

790 Andrews Ave Apt C206
Delray Beach, FL 33483-7260

Mailing address

790 Andrews Ave Apt C206
Delray Beach, FL 33483-7260
Phone (561) 329-7434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110512000176 FL Practitioner - Qualified Speech Language Pathologist 6002090909 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea Gottlieb Ms CCC SLP Inc Speech-Language Pathologist CurrentSince Nov 23, 2010 Accepting new patients
Leverage Health, Inc. CurrentSince Dec 13, 2016 Accepting new patients

Locations

6018 SW 18th St
Ste C11
Boca Raton, FL 33433
Phone (561) 417-8383

2655 E Oakland Park Blvd
Ste 5
Oakland Park, FL 33306
Phone (954) 630-3131

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1932336286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 ANDREWS AVE APT C206",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334837260",
            "telephone_number": "561-329-7434",
            "fax_number": "561-278-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 ANDREWS AVE APT C206",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334837260",
            "telephone_number": "561-329-7434",
            "fax_number": "561-278-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "MS  CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-14",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.