Krisztina Madak, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10893 Issued in MD

Practice address

10220 Wetherburn Rd
Ellicott City, MD 21042-1682

Phone

(410) 313-2819

NPI assigned

Jul 25, 2017

Last updated

Aug 6, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Easter Seals Southwest Florida

  • Developmentally Disabled Services Day Training Agency
  • Sarasota, FL
  • NPI 1356513535
  NPD (past)
• Easter Seals Southwest Florida, Nokomis

  • Speech-Language Pathologist
  • Nokomis, FL
  • NPI 1043815160
  NPD (past)
• Easterseals of Southwest Florida, Inc

  • Clinic/Center
  • Sarasota, FL
  • NPI 1396890422
  NPD (past)

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1497278188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10220 WETHERBURN RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10220 WETHERBURN RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421682",
            "telephone_number": "410-313-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAK",
        "first_name": "KRISZTINA",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2024-08-06",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14624",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "10893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M Medical Group, Inc.
• Jinfang Ma, MD
• Imani Mack, PT
• Jo Ann Mackinson, PSYCHOLOGIST
• Cally Marie Mackrell, ATC
• Joyce H Mady, PT
• Walter Mady, PT
• Catherine Mailander, M.D.
• James Mainhart, PT
• Paige Majd, PHARMD

• Speech-Language Pathologist in Ellicott City, MD
• Providers in Ellicott City, 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 6, 2024; 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.