Individual provider Active NPI

Marissa Kleiman, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Towson, MD
National Provider Identifier
1316401201
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
08132 Issued in MD
Practice address
7400 York Rd Ste 231
Towson, MD 21204-7531
Phone
(516) 312-1515
NPI assigned
Jan 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 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 08132 MD Primary

Addresses

Primary practice location

7400 York Rd Ste 231
Towson, MD 21204-7531

Mailing address

5127 Morningside LN
Ellicott City, MD 21043-7939
Phone (516) 312-1515

Other practice location 1

5127 Morningside Ln
Ellicott City, MD 21043-7939
Phone (516) 312-1515

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
08132MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1316401201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5127 MORNINGSIDE LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210437939",
            "telephone_number": "516-312-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 YORK RD STE 231",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047531",
            "telephone_number": "516-312-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5127 Morningside Ln",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210437939",
            "country_code": "US",
            "telephone_number": "516-312-1515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIMAN",
        "first_name": "MARISSA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "08132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.