NPIMap

Organization Active NPI

Alderman Speech Pathology Services, LLC

  • Hearing and Speech Clinic/Center
  • Baltimore, MD
National Provider Identifier
1154449304
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
04022 Issued in MD
Legal business name
ALDERMAN SPEECH PATHOLOGY SERVICES, LLC
Practice address
825 Washington Blvd
Baltimore, MD 21230-2324
Phone
(240) 821-5765
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Anthony Draughon, M.A. CCC-SLP
Title
Owner
Phone
(240) 353-3455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 04022 MD Primary

Addresses

Primary practice location

825 Washington Blvd
Baltimore, MD 21230-2324

Mailing address

11544 Lockwood Dr Apt A1
Silver Spring, MD 20904-2426
Phone (240) 353-3455

Other identifiers 1

IdentifierTypeStateIssuer
4089022MedicaidMD

National Provider Directory

National Provider Directory

Locations

1721 Pennsylvania Ave
Ste 103
Baltimore, MD 21217
Phone (410) 728-0853

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154449304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11544 LOCKWOOD DR APT A1",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042426",
            "telephone_number": "240-353-3455",
            "fax_number": "301-680-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WASHINGTON BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212302324",
            "telephone_number": "240-821-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDERMAN SPEECH PATHOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRAUGHON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-353-3455",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "MD",
            "license": "04022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4089022",
            "state": "MD"
        }
    ],
    "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 Aug 22, 2020; 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.