Individual provider Active NPI

Danielle McDivitt

  • Speech-Language Pathologist
  • McMurray, PA
National Provider Identifier
1679818983
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL010999 Issued in PA
Practice address
3240 Washington Rd
Suite 200
MC Murray, PA 15317-3180
Phone
(724) 941-4434
Fax
(724) 941-4714
NPI assigned
Nov 28, 2012
Last updated
Apr 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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 SL010999 PA Primary

Addresses

Primary practice location

3240 Washington Rd
Suite 200
MC Murray, PA 15317-3180

Mailing address

3240 Washington Rd
Suite 200
MC Murray, PA 15317-3180
Phone (724) 941-4434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170517000336 PA Practitioner - Qualified Speech Language Pathologist 9436426756 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SL010999PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Speech & Hearing, Inc. CurrentSince Apr 18, 2017 Accepting new patients
Crossroads Speech & Hearing, Inc. Speech-Language Pathologist Past Accepting new patients

Locations

3240 Washington Rd
Ste 200
McMurray, PA 15317
Phone (724) 941-4434

2539 Washington Rd
Ste 1010
Pittsburgh, PA 15241
Phone (724) 941-4434

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1679818983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 WASHINGTON RD",
            "address_2": "SUITE 200",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173180",
            "telephone_number": "724-941-4434",
            "fax_number": "724-941-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 WASHINGTON RD",
            "address_2": "SUITE 200",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173180",
            "telephone_number": "724-941-4434",
            "fax_number": "724-941-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDIVITT",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMurray, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.