Active NPI
Stephanie Correll, M.S. CCC-SLP
- Speech-Language Pathologist
- Aberdeen, MD
National Provider Identifier
1154970622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 06859
- Practice address
- 36 Baker St
Aberdeen, MD 21001-2418 - Phone
- (410) 273-5518
- NPI assigned
- Sep 8, 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 | 06859 | MD | Primary |
Addresses
Primary practice location
36 Baker St
Aberdeen, MD 21001-2418
Mailing address
2001 Knotty Pine Dr
Abingdon, MD 21009-2787
Phone (410) 688-5900
Other practice location 1
2001 Knotty Pine Dr
Abingdon, MD 21009-2787
Phone (014) 688-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06859 | Medicaid | MD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Aberdeen | Other |
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 |
|---|---|---|---|
| 06859 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567900800000",
"number": "1154970622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 KNOTTY PINE DR",
"city": "ABINGDON",
"state": "MD",
"postal_code": "210092787",
"telephone_number": "410-688-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 BAKER ST",
"city": "ABERDEEN",
"state": "MD",
"postal_code": "210012418",
"telephone_number": "410-273-5518"
}
],
"practiceLocations": [
{
"address_1": "2001 Knotty Pine Dr",
"address_purpose": "LOCATION",
"city": "Abingdon",
"state": "MD",
"postal_code": "210092787",
"country_code": "US",
"telephone_number": "014-688-5900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORRELL",
"first_name": "STEPHANIE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-08",
"last_updated": "2019-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "06859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06859",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Aberdeen",
"affiliation": "N",
"endpointDescription": "Speech therapy",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Aberdeen",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Abingdon",
"address_1": "36 Baker St",
"city": "Aberdeen",
"state": "MD",
"country_code": "US",
"postal_code": "210012418",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Aberdeen, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.