Organization Active NPI

Steam Academy of Warrensville Heights

  • Speech-Language Pathologist
  • Warrensville Heights, OH
National Provider Identifier
1083004642
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
STEAM ACADEMY OF WARRENSVILLE HEIGHTS
Practice address
4700 Richmond Rd
Suite 3000
Warrensville Heights, OH 44128-5984
Phone
(216) 595-2866
NPI assigned
Feb 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Authorized official

Name
Gary Lane
Title
Head of School/Principal
Phone
(216) 595-2866

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

4700 Richmond Rd
Suite 3000
Warrensville Heights, OH 44128-5984

Mailing address

4700 Richmond Rd
Suite 3000
Warrensville Heights, OH 44128-5984

National Provider Directory

National Provider Directory

Locations

4700 Richmond Rd
Ste 3000
Warrensville Heights, OH 44128
Phone (216) 595-2866

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1083004642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 RICHMOND RD",
            "address_2": "SUITE 3000",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 RICHMOND RD",
            "address_2": "SUITE 3000",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285984",
            "telephone_number": "216-595-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEAM ACADEMY OF WARRENSVILLE HEIGHTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "HEAD OF SCHOOL/PRINCIPAL",
        "authorized_official_telephone_number": "216-595-2866"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.