Individual provider Active NPI

Samuel D Leiter, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Washington, DC
National Provider Identifier
1821274994
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
05823 Issued in MD
Practice address
1200 1St St NE
8TH Floor
Washington, DC 20002-3361
Phone
(202) 442-4800
Fax
(202) 442-5026
NPI assigned
Jan 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0163421 NY
Speech-Language Pathologist 235Z00000X 05823 MD Primary
Speech-Language Pathologist 235Z00000X 21469 CA

Addresses

Primary practice location

1200 1St St NE
8TH Floor
Washington, DC 20002-3361

Mailing address

3415 Clarks LN
Apt C2
Baltimore, MD 21215-2545
Phone (443) 955-3864

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
05823MDMDClinical Social Worker
0163421NYMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1821274994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 CLARKS LN",
            "address_2": "APT C2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152545",
            "telephone_number": "443-955-3864",
            "fax_number": "206-888-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 1ST ST NE",
            "address_2": "8TH FLOOR",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023361",
            "telephone_number": "202-442-4800",
            "fax_number": "202-442-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITER",
        "first_name": "SAMUEL",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-18",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0163421",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "05823",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "21469",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.