Individual provider Active NPI

Pamela Helen Clohesey, DEAF MENTOR

  • Speech-Language Pathologist
  • Glenview, IL
National Provider Identifier
1053580738
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0299046982 Issued in PA
Practice address
1234 Highland LN
Glenview, IL 60025-2551
Phone
(847) 486-4132
Fax
(847) 486-4132
NPI assigned
Feb 26, 2008
Last updated
Feb 26, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0299046982 PA Primary

Addresses

Primary practice location

1234 Highland LN
Glenview, IL 60025-2551

Mailing address

1234 Highland LN
Glenview, IL 60025-2551
Phone (847) 486-4132

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0299046982PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1053580738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 HIGHLAND LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252551",
            "telephone_number": "847-486-4132",
            "fax_number": "847-486-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 HIGHLAND LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252551",
            "telephone_number": "847-486-4132",
            "fax_number": "847-486-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOHESEY",
        "first_name": "PAMELA",
        "middle_name": "HELEN",
        "name_prefix": "Ms.",
        "credential": "DEAF MENTOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "0299046982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.