Individual provider Active NPI

Danielle Holroyd, SLP

  • Speech-Language Pathologist
  • Mount Laurel, NJ
National Provider Identifier
1598259780
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS01186900 Issued in NJ
Practice address
523 Fellowship Rd Ste 290
Mount Laurel, NJ 08054-3418
Phone
(856) 424-5552
NPI assigned
Jun 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 01645L MD
Speech-Language Pathologist 235Z00000X 41YS01186900 NJ Primary

Addresses

Primary practice location

523 Fellowship Rd Ste 290
Mount Laurel, NJ 08054-3418

Mailing address

523 Fellowship Rd Ste 209
Mount Laurel, NJ 08054-3414
Phone (856) 424-5552

Other identifiers 1

IdentifierTypeStateIssuer
01645LOtherMDMD DEPT OF HEALTH, BOARD OF AUDIOLOGISTS...SPEECH LANGUAGE PATHOLOGISTS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
01645LMDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Multiple Sclerosis Specialty Center Speech-Language Pathologist CurrentSince May 22, 2023 Accepting new patients
Plymouth Speech Therapy Current Accepting new patients
Associated Professional Rehabilitation Services, Inc. Speech-Language Pathologist Past Accepting new patients
Rehabilitation Services, Inc. Speech-Language Pathologist Past Accepting new patients

Locations

9000 Midlantic Dr
Ste 101
Mount Laurel, NJ 08054
Phone (856) 424-5552

523 Fellowship Rd
Ste 290
Mount Laurel, NJ 08054
Phone (856) 424-5552

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1598259780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 FELLOWSHIP RD STE 209",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543414",
            "telephone_number": "856-424-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 FELLOWSHIP RD STE 290",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543418",
            "telephone_number": "856-424-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLROYD",
        "first_name": "DANIELLE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "01645L",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01186900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD DEPT OF HEALTH, BOARD OF AUDIOLOGISTS...SPEECH LANGUAGE PATHOLOGISTS",
            "identifier": "01645L",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.