Carey Sullivan Wentzel, M.S., CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

COND.20222031-SP Issued in OH

Practice address

8100 Washington St
Chagrin Falls, OH 44023-4506

Phone

(440) 543-6766

NPI assigned

Jul 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Carey Meyer Sullivan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1407581176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1293 SUMMIT AVE FL 2",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441072442",
            "telephone_number": "440-481-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 WASHINGTON ST",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234506",
            "telephone_number": "440-543-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTZEL",
        "first_name": "CAREY",
        "middle_name": "SULLIVAN",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.20222031-SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAREY",
            "last_name": "SULLIVAN",
            "middle_name": "MEYER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracy Woodrow Watson Jr., CRNA
• Susan Levy Wayne
• Lori Ann Weber
• Wendy Weinberg Weil, E1600081S. LPCC-S
• Zachery R Weinberg, OD
• Western Reserve Therapists, Inc.
• Haley Wheeler, LCSW
• Gail Margaret White, M.D.
• Janine Wilkes
• Elizabeth Ann Wilson, LPC

• Speech-Language Pathologist in Chagrin Falls, OH
• Providers in Chagrin Falls, 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 Jul 18, 2022; 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.