Individual provider Active NPI

Judy Montevideo-Berry

  • Speech-Language Pathologist
  • Havertown, PA
National Provider Identifier
1174744098
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL003214L Issued in PA
Practice address
1 N Belfield Ave
Sunny Days
Havertown, PA 19083-4904
Phone
(610) 449-1600
Fax
(610) 449-2655
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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 SL003214L PA Primary

Addresses

Primary practice location

1 N Belfield Ave
Sunny Days
Havertown, PA 19083-4904

Mailing address

2313 Sandhurst Dr.
Jamison, PA 18929
Phone (215) 343-8659

Other names 1

  • Judy Montevideo Former name

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

State licenses

LicenseStateTypeSpecialty
SL003214LPAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1174744098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 SANDHURST DR.",
            "city": "JAMISON",
            "state": "PA",
            "postal_code": "18929",
            "telephone_number": "215-343-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N BELFIELD AVE",
            "address_2": "SUNNY DAYS",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834904",
            "telephone_number": "610-449-1600",
            "fax_number": "610-449-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEVIDEO-BERRY",
        "first_name": "JUDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL003214L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "MONTEVIDEO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.