Mariam Ricchiuto, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11370 Issued in OH

Practice address

37047 Ridge Rd
Willoughby, OH 44094-4130

Phone

(440) 946-5000

NPI assigned

Sep 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Willoughby-Eastlake City SD

  • Local Education Agency (LEA)
  • Willoughby, OH
  • NPI 1629216825
  NPD (past)

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1427459106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12040 LAKE AVE",
            "address_2": "APT. 103",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441071851",
            "telephone_number": "440-465-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37047 RIDGE RD",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944130",
            "telephone_number": "440-946-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCHIUTO",
        "first_name": "MARIAM",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "11370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resilient Wellenss LLC
• Remi Resnick
• Anne Margaret Rex, DO
• Emine Rexhaj, PHARMD
• Kamal Sodi Riad, MD
• Heather Marie Rice, LPN
• Richard a Krantz DDS Inc
• Richard C. Flores, DDS, LLC
• Brandi Richard, FNP
• Jill H Richards, LD

• Speech-Language Pathologist in Willoughby, OH
• Providers in Willoughby, 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 Mar 22, 2018; 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.