Active NPI
Angela Okusewsky, SLP
- Speech-Language Pathologist
- Youngstown, OH
National Provider Identifier
1083920565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP9767
- Practice address
- 299 Edwards St
Youngstown, OH 44502-1504 - Phone
- (330) 743-1168
- Fax
- (330) 743-1616
- NPI assigned
- Aug 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP9767 | OH | Primary |
Addresses
Primary practice location
299 Edwards St
Youngstown, OH 44502-1504
Mailing address
5592 Callaway Cir
Austintown, OH 44515-4166
Phone (330) 792-6756
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0078348 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP9767 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1083920565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5592 CALLAWAY CIR",
"city": "AUSTINTOWN",
"state": "OH",
"postal_code": "445154166",
"telephone_number": "330-792-6756",
"fax_number": "330-743-1168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 EDWARDS ST",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445021504",
"telephone_number": "330-743-1168",
"fax_number": "330-743-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKUSEWSKY",
"first_name": "ANGELA",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-23",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP9767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0078348",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.