Cleveland State University Speech and Hearing Clinic

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

CLEVELAND STATE UNIVERSITY SPEECH AND HEARING CLINIC

Practice address

2121 Euclid Ave # MC-429
Cleveland, OH 44115-2214

Phone

(216) 687-3804

Fax

(216) 687-6993

NPI assigned

May 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Bazyk, M.S.

Title

Chairperson, Health Sciences Dept.

Phone

(216) 687-2379

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brigette Wilson

  • Speech-Language Pathologist
  • Cleveland, OH
  • NPI 1518363514
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407077449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 EUCLID AVE # MC-429",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152214",
            "telephone_number": "216-687-3804",
            "fax_number": "216-687-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 EUCLID AVE # MC-429",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152214",
            "telephone_number": "216-687-3804",
            "fax_number": "216-687-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND STATE UNIVERSITY SPEECH AND HEARING CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAZYK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHAIRPERSON, HEALTH SCIENCES DEPT.",
        "authorized_official_telephone_number": "216-687-2379",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0408286",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cleveland Society for the Blind (Cleveland Sight Center)
• Cleveland Society for the Blind (Cleveland Sight Center)
• Cleveland Sports Academy
• Cleveland State University
• Cleveland State University Health and Wellness Services
• Cleveland Team Construction
• Cleveland Telehealth LLC
• Cleveland Transportation Connection LLC
• Cleveland Umadaop Treatment and Recovery Services
• Cleveland Urban Minority Alcoholism & Drug Abuse Outreach Project, Inc (Cleveland UMADAOP)

• Hearing and Speech Clinic/Center in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Hearing and Speech Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.