Active NPI
John Calvin Alberty Jr., MS CCC SLP
- Speech-Language Pathologist
- Mitchellville, MD
National Provider Identifier
1518128818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 05732
- Practice address
- 9912 Glenkirk Way
Mitchellville, MD 20721-2990 - Phone
- (301) 325-7560
- Fax
- (301) 576-8550
- NPI assigned
- Jun 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 05732 | MD | Primary |
Addresses
Primary practice location
9912 Glenkirk Way
Mitchellville, MD 20721-2990
Mailing address
9912 Glenkirk Way
Mitchellville, MD 20721-2990
Phone (301) 325-7560
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05732 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213833600000",
"number": "1518128818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9912 GLENKIRK WAY",
"city": "MITCHELLVILLE",
"state": "MD",
"postal_code": "207212990",
"telephone_number": "301-325-7560",
"fax_number": "301-576-8550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9912 GLENKIRK WAY",
"city": "MITCHELLVILLE",
"state": "MD",
"postal_code": "207212990",
"telephone_number": "301-325-7560",
"fax_number": "301-576-8550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBERTY",
"first_name": "JOHN",
"middle_name": "CALVIN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MS CCC SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-19",
"last_updated": "2008-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "05732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mitchellville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.