Individual provider Active NPI

Mallory Elaine Roby, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Ellicott City, MD
National Provider Identifier
1518575927
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
09852 Issued in MD
Practice address
8169 Old Montgomery Rd
Ellicott City, MD 21043-7940
Phone
(410) 696-7449
NPI assigned
Jul 21, 2020
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 09852 MD Primary

Addresses

Primary practice location

8169 Old Montgomery Rd
Ellicott City, MD 21043-7940

Mailing address

9054 Constant Crse
Columbia, MD 21046-1617
Phone (443) 944-4855

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

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1518575927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9054 CONSTANT CRSE",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461617",
            "telephone_number": "443-944-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8169 OLD MONTGOMERY RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210437940",
            "telephone_number": "410-696-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBY",
        "first_name": "MALLORY",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "09852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.