Active NPI
Michael Pensabene, CCC-SLP
- Speech-Language Pathologist
- Oxon Hill, MD
National Provider Identifier
1437721024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 6710 Oxon Hill Rd Ste 480
Oxon Hill, MD 20745-1241 - Phone
- (301) 238-5290
- NPI assigned
- Jul 13, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
6710 Oxon Hill Rd Ste 480
Oxon Hill, MD 20745-1241
Mailing address
5801 Allentown Rd Ste 410
Camp Springs, MD 20746-4565
Phone (301) 238-4788
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1437721024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 ALLENTOWN RD STE 410",
"city": "CAMP SPRINGS",
"state": "MD",
"postal_code": "207464565",
"telephone_number": "301-238-4788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6710 OXON HILL RD STE 480",
"city": "OXON HILL",
"state": "MD",
"postal_code": "207451241",
"telephone_number": "301-238-5290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENSABENE",
"first_name": "MICHAEL",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-13",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxon Hill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.