Individual provider Active NPI

Dorie Mendell, PHD, CCC-SLP

  • Speech-Language Pathologist
  • Vernon Hills, IL
National Provider Identifier
1710158761
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
250 Center Dr
Suite 101-a
Vernon Hills, IL 60061-1582
Phone
(847) 816-7200
Fax
(847) 816-7210
NPI assigned
Mar 18, 2008
Last updated
Mar 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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 IL Primary

Addresses

Primary practice location

250 Center Dr
Suite 101-a
Vernon Hills, IL 60061-1582

Mailing address

PO Box 7635
Libertyville, IL 60048-7635
Phone (847) 816-7200

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
146.005738ILMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: dmendell4220@direct.chw.org

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1710158761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7635",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600487635",
            "telephone_number": "847-816-7200",
            "fax_number": "847-816-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CENTER DR",
            "address_2": "SUITE 101-A",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611582",
            "telephone_number": "847-816-7200",
            "fax_number": "847-816-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELL",
        "first_name": "DORIE",
        "credential": "PHD, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.