Active NPI
Nicholle Yanak
- Speech-Language Pathologist
- Cleveland, OH
National Provider Identifier
1275472219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.14655
- Practice address
- 6103 Scovill Ave
Cleveland, OH 44104-1916 - Phone
- (216) 477-6955
- NPI assigned
- Mar 26, 2026
- Last updated
- Jun 5, 2026
- Sex
- Unspecified or another gender identity
- 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 | SP.14655 | OH | Primary |
Addresses
Primary practice location
6103 Scovill Ave
Cleveland, OH 44104-1916
Mailing address
6103 Scovill Ave
Cleveland, OH 44104-1916
Phone (216) 477-6955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
Cleveland, OH 44104
Phone (216) 477-6955
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.14655 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1275472219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6103 SCOVILL AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441041916",
"telephone_number": "216-477-6955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6103 SCOVILL AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441041916",
"telephone_number": "216-477-6955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANAK",
"first_name": "NICHOLLE",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-03-26",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.14655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.