Active NPI
Patricia Marie Mondello, CCC/SLP
- Speech-Language Pathologist
- East Sandwich, MA
National Provider Identifier
1033567060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3600
- Practice address
- 3 Bosuns Psge
East Sandwich, MA 02537-1776 - Phone
- (774) 313-9045
- NPI assigned
- May 31, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3600 | MA | Primary |
Addresses
Primary practice location
3 Bosuns Psge
East Sandwich, MA 02537-1776
Mailing address
3 Bosuns Psge
East Sandwich, MA 02537-1776
Phone (774) 313-9045
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3600 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1033567060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 BOSUNS PSGE",
"city": "EAST SANDWICH",
"state": "MA",
"postal_code": "025371776",
"telephone_number": "774-313-9045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BOSUNS PSGE",
"city": "EAST SANDWICH",
"state": "MA",
"postal_code": "025371776",
"telephone_number": "774-313-9045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONDELLO",
"first_name": "PATRICIA",
"middle_name": "MARIE",
"credential": "CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-31",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "3600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Sandwich, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.