Individual provider Active NPI

Ellyn Palmer Bernard

  • Speech-Language Pathologist
  • West Chester, OH
National Provider Identifier
1164196309
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
9680 Cincinnati Columbus Rd
West Chester, OH 45241-1071
Phone
(513) 777-8599
NPI assigned
Aug 2, 2021
Last updated
Aug 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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 NU Primary

Addresses

Primary practice location

9680 Cincinnati Columbus Rd
West Chester, OH 45241-1071

Mailing address

9680 Cincinnati Columbus Rd
West Chester, OH 45241-1071
Phone (513) 777-8599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230220000414 OH Practitioner - Qualified Speech Language Pathologist 5092187179 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Concepts in Speech and Hearing, Inc. Speech-Language Pathologist CurrentSince Mar 10, 2023 Accepting new patients
Concepts in Hearing PastSince Aug 8, 2021 Accepting new patients

Locations

9680 Cincinnati Columbus Rd
West Chester, OH 45241
Phone (513) 777-8599

9680 Cincinnati Columbus Rd
#R
West Chester, OH 45241
Phone (513) 777-8599

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1164196309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9680 CINCINNATI COLUMBUS RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "452411071",
            "telephone_number": "513-777-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9680 CINCINNATI COLUMBUS RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "452411071",
            "telephone_number": "513-777-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "ELLYN",
        "middle_name": "PALMER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.