Individual provider Active NPI

Alysha Renee Bajan, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Mentor, OH
National Provider Identifier
1306512173
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.14125 Issued in OH
Practice address
6465 Curtiss CT
Mentor, OH 44060-2473
Phone
(440) 255-7223
NPI assigned
Aug 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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 SP.14125 OH Primary

Addresses

Primary practice location

6465 Curtiss CT
Mentor, OH 44060-2473

Mailing address

6451 Center St
Mentor, OH 44060-4196
Phone (440) 255-7223

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bajan@mentorschools.org Direct

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP.14125OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1306512173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 CENTER ST",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604196",
            "telephone_number": "440-255-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 CURTISS CT",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440602473",
            "telephone_number": "440-255-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJAN",
        "first_name": "ALYSHA",
        "middle_name": "RENEE",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.14125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bajan@mentorschools.org",
            "affiliation": "N",
            "endpointDescription": "bajan@mentorschools.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6465 Curtiss Ct",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440602473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.