Active NPI
Barbara S Delsack, MD, CCC-SLP
- Speech-Language Pathologist
- Rockville, MD
National Provider Identifier
1104485697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 08351
- Practice address
- Montgomery County Public Schools
850 Hungerford Drive
Rockville, MD 20850 - Phone
- (240) 740-3000
- NPI assigned
- Jun 10, 2019
- 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 | 08351 | MD | Primary |
Addresses
Primary practice location
Montgomery County Public Schools
850 Hungerford Drive
Rockville, MD 20850
Mailing address
409 N Market St Apt 1
Frederick, MD 21701-5237
Phone (301) 642-6984
Other practice location 1
409 N Market St Apt 1
Frederick, MD 21701-5237
Phone (301) 642-6984
Other practice location 2
Rock Terrace School
390 Martins Lane
Rockville, MD 20850
Phone (240) 740-4650
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08351 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1104485697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 N MARKET ST APT 1",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217015237",
"telephone_number": "301-642-6984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MONTGOMERY COUNTY PUBLIC SCHOOLS",
"address_2": "850 HUNGERFORD DRIVE",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20850",
"telephone_number": "240-740-3000"
}
],
"practiceLocations": [
{
"address_1": "409 N Market St Apt 1",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217015237",
"country_code": "US",
"telephone_number": "301-642-6984",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Rock Terrace School",
"address_2": "390 Martins Lane",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "20850",
"country_code": "US",
"telephone_number": "240-740-4650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELSACK",
"first_name": "BARBARA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "MD, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "08351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.