Active NPI
Monique Cevasco, M.S., CCC-SLP
- Speech-Language Pathologist
- Baltimore, MD
National Provider Identifier
1679041255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 07800
- Practice address
- 801 Argonne Dr
Baltimore, MD 21218-1943 - Phone
- (410) 889-5054
- NPI assigned
- Nov 13, 2018
- Last updated
- Nov 13, 2018
- Sex
- Female
- 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 | 07800 | MD | Primary |
Addresses
Primary practice location
801 Argonne Dr
Baltimore, MD 21218-1943
Mailing address
801 Argonne Dr
Baltimore, MD 21218-1943
Phone (410) 889-5054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07800 | Other | MD | MARYLAND STATE LICENSE OF SPEECH-LANGUAGE PATHOLOGY |
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 |
|---|---|---|---|
| 07800 | MD | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Elizabeth School | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Baltimore, MD
- NPI 1730200049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542067200000",
"number": "1679041255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 ARGONNE DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212181943",
"telephone_number": "410-889-5054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 ARGONNE DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212181943",
"telephone_number": "410-889-5054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEVASCO",
"first_name": "MONIQUE",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-13",
"last_updated": "2018-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "07800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND STATE LICENSE OF SPEECH-LANGUAGE PATHOLOGY",
"identifier": "07800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.