Individual provider Active NPI

Deepali Patel, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1336758010
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
100046 Issued in TX
Practice address
2931 Bering Dr
Houston, TX 77057-5705
Phone
(361) 728-3751
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 100046 TX Primary

Addresses

Primary practice location

2931 Bering Dr
Houston, TX 77057-5705

Mailing address

2931 Bering Dr
Houston, TX 77057-5705
Phone (361) 728-3751

Other identifiers 1

IdentifierTypeStateIssuer
100046OtherTXTEXAS STATE BOARD FOR SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY

Other names 1

  • Deepa Patel Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL HOUSTON Other

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
100046TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1336758010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 BERING DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575705",
            "telephone_number": "361-728-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 BERING DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575705",
            "telephone_number": "361-728-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DEEPALI",
        "name_prefix": "Ms.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD FOR SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY",
            "identifier": "100046",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HOUSTON",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "HOUSTON",
            "address_1": "2931 Bering Dr",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770575705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEEPA",
            "last_name": "PATEL",
            "credential": "M.A. CCC- SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.