Mint Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MINT THERAPY LLC

Practice address

935 Sterner Rd
Hillside, NJ 07205-3005

Phone

(305) 905-9775

NPI assigned

Jul 7, 2022

Organization subpart

No

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

Authorized official

Name

Yael Gottesman, MS, CCC-SLPNPI 1588176291

Title

Owner/Speech-Language Pathologist

Phone

(305) 905-9775

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yael Gottesman, MS, CCC-SLP

  • Speech-Language Pathologist
  • Hillside, NJ
  • NPI 1588176291
  NPD Authorized official

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1942933841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 STERNER RD",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072053005",
            "telephone_number": "305-905-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 STERNER RD",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072053005",
            "telephone_number": "305-905-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "GOTTESMAN",
        "authorized_official_first_name": "YAEL",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "305-905-9775",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Matkiwsky, DO
• Tunisia McKnight
• Medical Express Ambulance LLC
• Medvale Home Care LLC
• Rebecca Micial
• Joseph Kwame Mireku, PHARM. D
• Bruce Khalil Moore II, EMT
• Towana Renee Moore, M.A.
• Bathseba Moraa
• Margaret Lee Morales-Peluso, RPH

• Speech-Language Pathologist in Hillside, NJ
• Providers in Hillside, 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 Jul 7, 2022; 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.