PEDIATRIC SPEECH LAB
NPI 1720524598
Speech-Language Pathologist in Waldorf, MD
About Pediatric Speech Lab NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEDIATRIC SPEECH LAB (NPI 1720524598) is a healthcare organization registered as a speech-language pathologist in Waldorf, Maryland and active in the NPI registry since January 2017. The organization lists Quintina Maria Briscoe, Speech-language Pathologist/ Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pediatric Speech Lab is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pediatric Speech Lab, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pediatric Speech Lab's NPI number?
The NPI number for Pediatric Speech Lab is 1720524598. It was assigned to this organization in the NPPES registry on January 17, 2017.
Where is Pediatric Speech Lab located?
Pediatric Speech Lab is located at 11350 Pembrooke Sq Ste 313, Waldorf, MD 20603. The listed phone number is (301) 885-0033.
What is Pediatric Speech Lab's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Pediatric Speech Lab enrolled in Medicare?
Yes. Pediatric Speech Lab is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pediatric Speech Lab?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Pediatric Speech Lab. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pediatric Speech Lab was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pediatric Speech Lab · NPI 1720524598
Speech-Language Pathologist organization in Waldorf, Maryland. Organization record, active in the CMS NPPES registry since January 17, 2017.
## Identity
- **NPI:** 1720524598 (Entity type: Organization)
- **Enumerated:** January 17, 2017
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **Organization subpart:** No
- **Authorized official:** Quintina Briscoe, SPEECH-LANGUAGE PATHOLOGIST/ OWNER
## Practice location
- **Address:** 11350 PEMBROOKE SQ STE 313, Waldorf, MD 20603-4809
- **Phone:** (301) 885-0033
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Qualified Speech Language Pathologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1720524598) · Data from the CMS NPPES public registry.