Kelly Mangosh, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

105 Water St
Chardon, OH 44024-1201

Phone

(440) 201-9295

Fax

(216) 678-9169

NPI assigned

Oct 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Leaps and Sounds Pediatric Rehabilitation

  • Speech-Language Pathologist
  • Chardon, OH
  • NPI 1720717085
  NPD

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1073238275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WATER ST",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241201",
            "telephone_number": "440-201-9295",
            "fax_number": "216-678-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WATER ST",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241201",
            "telephone_number": "440-201-9295",
            "fax_number": "216-678-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGOSH",
        "first_name": "KELLY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica@leapsandsounds.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "105 Water St",
            "city": "Chardon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440241201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael William Majetich, D.O.
• Melanie J Malec, M.D.
• Hayley Malenda, LPC
• Alexa Marie Malnar
• Michelle M Maneage
• Emma Manning
• Maple Grove Enterprises
• Maple Leaf Community Residences, Inc
• Mapleview Operating Company LLC
• Maplewood at Chardon, LLC

• Speech-Language Pathologist in Chardon, OH
• Providers in Chardon, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.