Ellen Rae McCafferty, M.A. CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP4183 Issued in OH

Practice address

1215 W Clifton Blvd
Lakewood, OH 44107-1008

Phone

(216) 227-5826

NPI assigned

Feb 12, 2014

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1306260203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 W 155TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113007",
            "telephone_number": "216-544-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W CLIFTON BLVD",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441071008",
            "telephone_number": "216-227-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAFFERTY",
        "first_name": "ELLEN",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP4183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34-6001631",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anamaria Massier, MD
• Tracy Loye Masterson, PH.D.
• Kendra Anne Mathys, PSYD
• Megan M Matthews, LPCC
• Daniel Michael Mazzeo, LISW-S
• Cynthia L McCormack
• Heather Marie McCormick
• Dianne Marie McDonald, D.D.S.
• Tracy Ann McGowan-Cole, RN
• Elizabeth Anne Snyder McKenna, AU.D.

• Speech-Language Pathologist in Lakewood, OH
• Providers in Lakewood, 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 Feb 12, 2014; 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.