Active NPI
Aviva Mond, MS, CCC-SLP
- Speech-Language Pathologist
- Baltimore, MD
National Provider Identifier
1104388768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 09160
- Practice address
- 31 Walker Ave
Baltimore, MD 21208-4022 - Phone
- (410) 415-3515
- NPI assigned
- Apr 3, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 09160 | MD | Primary |
Addresses
Primary practice location
31 Walker Ave
Baltimore, MD 21208-4022
Mailing address
6015 Greenspring Ave
Baltimore, MD 21209-3921
Phone (443) 224-8211
Other practice location 1
4445 Old Court Rd
Baltimore, MD 21208-2795
Phone (410) 484-6600
Other practice location 2
35 Rosewood Ln
Owings Mills, MD 21117-3704
Phone (410) 654-3500
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09160 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1104388768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6015 GREENSPRING AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212093921",
"telephone_number": "443-224-8211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 WALKER AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212084022",
"telephone_number": "410-415-3515"
}
],
"practiceLocations": [
{
"address_1": "4445 Old Court Rd",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212082795",
"country_code": "US",
"telephone_number": "410-484-6600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35 Rosewood Ln",
"address_purpose": "LOCATION",
"city": "Owings Mills",
"state": "MD",
"postal_code": "211173704",
"country_code": "US",
"telephone_number": "410-654-3500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOND",
"first_name": "AVIVA",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "09160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.