Active NPI
Tamar Hadassah Suffin
- Speech-Language Pathologist
- Baltimore, MD
National Provider Identifier
1184282097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 06126
- Practice address
- 2400 Windsor Ave
Baltimore, MD 21216-3229 - Phone
- (410) 396-0764
- NPI assigned
- Jun 5, 2019
- 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 | 06126 | MD | Primary |
Addresses
Primary practice location
2400 Windsor Ave
Baltimore, MD 21216-3229
Mailing address
6609 Greenspring Ave
Baltimore, MD 21209-2513
Phone (443) 956-8719
Other practice location 1
200 E North Ave
Baltimore, MD 21202-4888
Phone (443) 642-4913
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
| License | State | Type | Specialty |
|---|---|---|---|
| 06126 | MD | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1184282097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6609 GREENSPRING AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212092513",
"telephone_number": "443-956-8719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 WINDSOR AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212163229",
"telephone_number": "410-396-0764"
}
],
"practiceLocations": [
{
"address_1": "200 E North Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212024888",
"country_code": "US",
"telephone_number": "443-642-4913",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUFFIN",
"first_name": "TAMAR",
"middle_name": "HADASSAH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-05",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "06126",
"primary": true
}
],
"identifiers": [],
"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 Jun 5, 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.