Individual provider Active NPI

Barbara S Delsack, MD, CCC-SLP

  • Speech-Language Pathologist
  • Rockville, MD
National Provider Identifier
1104485697
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
08351 Issued in MD
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

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
08351MDMDGeneral 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.

Verify at the official NPI Registry.