Vicki Seraphim, M.SC., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

09357 Issued in MD

Practice address

9930 Moyer Rd
Damascus, MD 20872-2393

Phone

(240) 740-2580

NPI assigned

Aug 17, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Vicki Papanicolas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1407136898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HUNGERFORD DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501718",
            "telephone_number": "240-740-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 MOYER RD",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208722393",
            "telephone_number": "240-740-2580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10706 Cherry Tree Ct",
            "address_purpose": "LOCATION",
            "city": "Adelphi",
            "state": "MD",
            "postal_code": "207831000",
            "country_code": "US",
            "telephone_number": "301-937-3018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERAPHIM",
        "first_name": "VICKI",
        "credential": "M.SC., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "09357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI",
            "last_name": "PAPANICOLAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Koury Rofayel
• Gregg Salem, PHD
• Miranda Sanborn, CRNP
• Vera Bong Sangbong
• Jattu Conima Senesie, M.D.
• Malvika Sharma, MD
• Dominique Nicole Shaw, WHNP-BC
• Erik Sheffer
• Ashwina G Sheth, MD
• Albert Carleton Simmonds IV, M.D.

• Speech-Language Pathologist in Damascus, MD
• Providers in Damascus, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.