Active NPI
Jerilyn Deitch, MA/CCC-SLP
- Speech-Language Pathologist
- Annapolis, MD
National Provider Identifier
1497225288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 03995
- Practice address
- Anne Arundel County Public Schools
2644 Riva Rd
Annapolis, MD 21401 - Phone
- (410) 222-5000
- NPI assigned
- Dec 5, 2018
- Sex
- Female
- 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 | 03995 | MD | Primary |
Addresses
Primary practice location
Anne Arundel County Public Schools
2644 Riva Rd
Annapolis, MD 21401
Mailing address
900 Forked Creek Rd
Arnold, MD 21012-1729
Phone (410) 746-5917
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03995 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1497225288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 FORKED CREEK RD",
"city": "ARNOLD",
"state": "MD",
"postal_code": "210121729",
"telephone_number": "410-746-5917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ANNE ARUNDEL COUNTY PUBLIC SCHOOLS",
"address_2": "2644 RIVA RD",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "21401",
"telephone_number": "410-222-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEITCH",
"first_name": "JERILYN",
"name_prefix": "Mrs.",
"credential": "MA/CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-05",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "03995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.