Individual provider Active NPI

Lindsay Roof, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Shaker Heights, OH
National Provider Identifier
1336789536
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.13762 Issued in OH
Practice address
3570 Warrensville Center Rd Ste 106
Shaker Heights, OH 44122-5226
Phone
(216) 282-1582
Fax
(216) 927-1801
NPI assigned
Jan 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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.13762 OH Primary

Addresses

Primary practice location

3570 Warrensville Center Rd Ste 106
Shaker Heights, OH 44122-5226

Mailing address

35390 Nightshade LN
Solon, OH 44139-5070
Phone (440) 665-0593

Other names 1

  • Ms. Lindsay Vale Former name

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.13762OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
FM Speech Therapy LLC CurrentSince Jul 31, 2023 Accepting new patients
FM Speech Therapy LLC CurrentSince Jul 31, 2023 Accepting new patients

Locations

3570 Warrensville Center Rd
Ste 106
Shaker Hts, OH 44122
Phone (216) 282-1582

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1336789536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35390 NIGHTSHADE LN",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441395070",
            "telephone_number": "440-665-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 WARRENSVILLE CENTER RD STE 106",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225226",
            "telephone_number": "216-282-1582",
            "fax_number": "216-927-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOF",
        "first_name": "LINDSAY",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.13762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "VALE",
            "prefix": "MS.",
            "credential": "M.A., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shaker Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.