Individual provider Active NPI

Deborah Mode, MS, CCC-SLP

  • Speech-Language Pathologist
  • Irving, TX
National Provider Identifier
1962536862
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
113337 Issued in TX
Practice address
6230 N Belt Line Rd Ste 300
Irving, TX 75063-2657
Phone
(469) 320-1700
Fax
(469) 320-1732
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 113337 TX Primary
Speech-Language Pathologist 235Z00000X 7047 MA

Addresses

Primary practice location

6230 N Belt Line Rd Ste 300
Irving, TX 75063-2657

Mailing address

6230 N Belt Line Rd Ste 300
Irving, TX 75063-2657
Phone (469) 320-1700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210327000162 TX Practitioner - Qualified Speech Language Pathologist 6709293327 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7047MAMDSpeech-Language Pathologist
113337TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vice Versa Speech and Language Services, PLLC Speech-Language Pathologist CurrentSince Mar 1, 2021 Accepting new patients
Speech and Language Development Center, LLC. Current Accepting new patients
The Speech and Language Development Center Current Accepting new patients

Locations

8405 Sterling St
Ste 203
Irving, TX 75063
Phone (469) 320-1700

8405 Sterling St
Ste 201
Irving, TX 75063
Phone (469) 320-1700

6230 N Belt Line Rd
Ste 300
Irving, TX 75063
Phone (469) 320-1700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1962536862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 N BELT LINE RD STE 300",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632657",
            "telephone_number": "469-320-1700",
            "fax_number": "469-320-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 N BELT LINE RD STE 300",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632657",
            "telephone_number": "469-320-1700",
            "fax_number": "469-320-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODE",
        "first_name": "DEBORAH",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113337",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "7047",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.