Individual provider Active NPI

Tammy Cienkus Masciola

  • Speech-Language Pathologist
  • Yorkville, IL
National Provider Identifier
1306010582
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146006602 Issued in IL
Practice address
1581 Sycamore Rd
Yorkville, IL 60560-1952
Phone
(630) 552-9890
NPI assigned
Apr 17, 2008
Last updated
Jun 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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 146006602 IL Primary

Addresses

Primary practice location

1581 Sycamore Rd
Yorkville, IL 60560-1952

Mailing address

25107 W Prairie Grove Dr
Plainfield, IL 60585-7979
Phone (815) 546-1838

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
146006602ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Steps for Kids, Inc PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1306010582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25107 W PRAIRIE GROVE DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605857979",
            "telephone_number": "815-546-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 SYCAMORE RD",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601952",
            "telephone_number": "630-552-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIENKUS MASCIOLA",
        "first_name": "TAMMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146006602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.