Active NPI
Cynthia Ann Banda, M.S., CCC-SLP
- Speech-Language Pathologist
- Johnstown, PA
National Provider Identifier
1669593109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL000382L
- Practice address
- 232 Walnut St
Johnstown, PA 15901-2913 - Phone
- (814) 535-5508
- Fax
- (814) 536-4943
- NPI assigned
- Apr 3, 2007
- 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 | SL000382L | PA | Primary |
Addresses
Primary practice location
232 Walnut St
Johnstown, PA 15901-2913
Mailing address
232 Walnut St
Johnstown, PA 15901-2913
Phone (814) 535-5508
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87320 | Other | PA | UNISON |
| 530868 | Other | PA | HIGHMARK |
| 017609970003 | Medicaid | PA |
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 |
|---|---|---|---|
| SL000382L | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easter Seals Central PA | Past | Accepting new patients | |
| Easter Seals Western and Central Pennsylvania | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Waynesboro, PA
- NPI 1083757454
-
- Physical Therapist
- Johnstown, PA
- NPI 1265551790
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1669593109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 WALNUT ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159012913",
"telephone_number": "814-535-5508",
"fax_number": "814-536-4943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 WALNUT ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159012913",
"telephone_number": "814-535-5508",
"fax_number": "814-536-4943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDA",
"first_name": "CYNTHIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL000382L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "87320",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "530868",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017609970003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.