Active NPI
Deborah Mode, MS, CCC-SLP
- Speech-Language Pathologist
- Irving, TX
National Provider Identifier
1962536862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 113337
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7047 | MA | MD | Speech-Language Pathologist |
| 113337 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vice Versa Speech and Language Services, PLLC | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Irving, TX
- NPI 1992309421
-
- Hearing and Speech Clinic/Center
- Irving, TX
- NPI 1659535417
-
- Occupational Therapist
- Springfield, MA
- NPI 1114164647
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.