Individual provider Active NPI

Maya Jessica Brown, MA, CF-SLP

  • Speech-Language Pathologist
  • Mayfield Heights, OH
National Provider Identifier
1396320164
Registry record updated Mar 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
COND.1399-SP Issued in OH
Practice address
2108 Lander Rd
Mayfield Heights, OH 44124-4137
Phone
(313) 333-6264
NPI assigned
Mar 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 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 COND.1399-SP OH Primary

Addresses

Primary practice location

2108 Lander Rd
Mayfield Heights, OH 44124-4137

Mailing address

1000 Hollister LN Apt 1141
Perrysburg, OH 43551-7292
Phone (313) 333-6264

Other identifiers 1

IdentifierTypeStateIssuer
COND.20201399-SPOtherOHOHIO SPEECH AND HEARING PROFESSIONALS BOARD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Laptop Health Information Exchange (HIE)

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
COND.1399-SPOHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1396320164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HOLLISTER LN APT 1141",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435517292",
            "telephone_number": "313-333-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 LANDER RD",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244137",
            "telephone_number": "313-333-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MAYA",
        "middle_name": "JESSICA",
        "credential": "MA, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-13",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.1399-SP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO SPEECH AND HEARING PROFESSIONALS BOARD",
            "identifier": "COND.20201399-SP",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2108 Lander Rd",
            "city": "Mayfield Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441244137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2021; 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.