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Deactivated NPI 1366801896 Deactivated / Inactive NPI Female Practitioner

Taylor Procida

Speech-Language Pathologist • Mc Lean, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Taylor Procida has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 11, 2016
NPI Deactivation Date August 02, 2021
Total Practice Duration ~5 Years of Practice (2016 – 2021)

Professional Overview & Biography Verified Profile Summary

Taylor Procida was a registered Speech-Language Pathologist practicing in Mc Lean, VA. Throughout an active medical career spanning 5 years, Taylor Procida provided care at the practice location at 1739 KIRBY RD until profile deactivation on 2021-08-02.

Historical Medicare Part B clinical services included treatment of speech, language, voice, communication, and/or hearing processing disorder, development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each, treatment of swallowing and feeding disorder. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1739 Kirby Rd

Mc Lean, VA 221014817

Telephone 7035066900
Associated Practice Facility / Clinic
🏢 Vinson Hall, Llc Facility NPI 1992093553

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mc Lean, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
24 Specialists

Practicing in Mc Lean, VA (4974 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92507 Treatment of speech, language, voice, communication, and/or hearing processing disorder
131 15 $138.00 $68.26

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Shallese Abrams

Occupational Therapy Assistant

NPI 1104581727
Danielle Hale

Occupational Therapist

NPI 1124796800
Jenica Chekouras , COTA-L

Occupational Therapy Assistant

NPI 1225518616

COTAL

Bukunola Caillier

Physical Therapy Assistant

NPI 1285067785
Vansay Vorrasane

Physical Therapist

NPI 1326691759
Robert Pereddo , LPTA

Physical Therapy Assistant

NPI 1457833766

Licensed Physical Therapist Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
⚠️
NPI Profile Deactivated August 02, 2021

Record deactivated on August 02, 2021

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NPI Profile Deactivated July 31, 2021

Record deactivated on July 31, 2021

👤
Provider Name / Credentials Updated October 24, 2018

Recorded as TAYLOR GREEN, CCC-SLP

NPI Profile Active April 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2017

Registered at 7 CARNEGIE PLZ, CHERRY HILL, NJ 080031000 (Tel: 8774073422)

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Updated Business Mailing Address April 19, 2017

Registered at 4231 MONUMENT WALL WAY, APT 153, FAIRFAX, VA 220308433 (Tel: 4434723657)

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Provider Name / Credentials Updated April 19, 2017

Recorded as TAYLOR PROCIDA, CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2017

Speech-Language Pathologist

NPI Profile Active February 11, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 11, 2016

Registered at 1739 KIRBY RD, MC LEAN, VA 221014817 (Tel: 7035066900)

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Updated Business Mailing Address February 11, 2016

Registered at 11885 GRAND COMMONS AVE, APT 311, FAIRFAX, VA 220308625 (Tel: 4434723657)

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Provider Name / Credentials Updated February 11, 2016

Recorded as TAYLOR PROCIDA

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2016

Speech-Language Pathologist

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Initial NPI Registration & Enumeration February 11, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366801896
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2016
Last Update: February 11, 2016
Deactivation Date: August 02, 2021

Mailing Address

11885 Grand Commons Ave, Apt 311

Fairfax, VA 220308625

Phone: 4434723657

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.