Michaela Mondo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS01257800 Issued in NJ

Practice address

6167 W Quaker St
Orchard Park, NY 14127-2640

Phone

(716) 662-4800

Fax

(716) 662-5700

NPI assigned

Jun 14, 2020

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)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Expressable Therapy of New Jersey PC

  • Speech-Language Pathologist
  • Roseland, NJ
  • NPI 1811615685
  NPD
• Expressable Therapy PC

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1134875370
  NPD
• Therapeutic Link for Children

  • Early Intervention Provider Agency
  • Orchard Park, NY
  • NPI 1972784221
  NPD (past)
• Therapeutic Link for Children, PLLC

  • Early Intervention Provider Agency
  • Orchard Park, NY
  • NPI 1508222498
  NPD (past)

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

{
    "created_epoch": "1592092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1033734116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4054 CAPSTONE CIR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217389",
            "telephone_number": "585-330-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6167 W QUAKER ST",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272640",
            "telephone_number": "716-662-4800",
            "fax_number": "716-662-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDO",
        "first_name": "MICHAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-14",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030938",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01257800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jude Mogavero
• Wilfrido D. Mojica, MD
• Julie Christine Moll, MSW
• Joseph John Monaco
• Maria Monaco
• Molly Elizabeth Moore, M.D.
• Patrick James Moorehead, RPH
• Victor Morales III
• Nicole L Moretta, MS, RDN
• Cherice Lynn Morgan, MHC

• Speech-Language Pathologist in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.