Active NPI
Mairin Srygley, CF-SLP
- Speech-Language Pathologist
- Baltimore, MD
National Provider Identifier
1154904761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1303 Windemere Ave
Baltimore, MD 21218-3016 - Phone
- (443) 961-5511
- NPI assigned
- May 2, 2021
- Last updated
- May 2, 2021
- 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 | NU | Primary |
Addresses
Primary practice location
1303 Windemere Ave
Baltimore, MD 21218-3016
Mailing address
1303 Windemere Ave
Baltimore, MD 21218-3016
Phone (443) 961-5511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699230862 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210616000121 | MD | Practitioner - Qualified Speech Language Pathologist | 4486054244 | Practice locations: Baltimore, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619913600000",
"number": "1154904761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 WINDEMERE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212183016",
"telephone_number": "443-961-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 WINDEMERE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212183016",
"telephone_number": "443-961-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRYGLEY",
"first_name": "MAIRIN",
"credential": "CF-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-02",
"last_updated": "2021-05-02",
"certification_date": "2021-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1699230862",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
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- Shreya Srivastava, MD
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- Manasa Srivillibhuthur, MD
- Lisa Michelle Srok, LCPC, ATR-P, MA
- SSC Baltimore Operating Company LLC (Overlea Health and Rehabilitation Center)
- Moenirah Ssengo
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- St Agnes Healthcare Inc
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.