NPIMap

Individual provider Active NPI

Michele Dana Pollak, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Rockville, MD
National Provider Identifier
1255640330
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
06432 Issued in MD
Practice address
2301 Research Blvd
Suite 110
Rockville, MD 20850-3204
Phone
(301) 424-5200
NPI assigned
Oct 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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 06432 MD Primary

Addresses

Primary practice location

2301 Research Blvd
Suite 110
Rockville, MD 20850-3204

Mailing address

2301 Research Blvd
Suite 110
Rockville, MD 20850-3204
Phone (301) 424-5200

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

LicenseStateTypeSpecialty
06432MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Treatment and Learning Centers, Inc. Past Accepting new patients
The Treatment and Learning Centers Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1255640330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 RESEARCH BLVD",
            "address_2": "SUITE 110",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503204",
            "telephone_number": "301-424-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 RESEARCH BLVD",
            "address_2": "SUITE 110",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503204",
            "telephone_number": "301-424-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLAK",
        "first_name": "MICHELE",
        "middle_name": "DANA",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "06432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.