Richard R Lemoncello, PHD, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12474 Issued in OR

Practice address

2043 College Way
Pacific University / School of CSD
Forest Grove, OR 97116

Phone

(503) 352-1452

NPI assigned

Jun 16, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Rik Lemoncello Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1538540554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9424 SW WOOD PKWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195169",
            "telephone_number": "503-360-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 COLLEGE WAY",
            "address_2": "PACIFIC UNIVERSITY / SCHOOL OF CSD",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "97116",
            "telephone_number": "503-352-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMONCELLO",
        "first_name": "RICHARD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHD, CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "12474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OR LICENSE TO PRACTICE SPEECH-LANGUAGE PATHOLOGY",
            "identifier": "12474",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA NATIONAL CERTIFICATION",
            "identifier": "12027743",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIK",
            "last_name": "LEMONCELLO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amy Lanzendorf, OD
• Hannu Robert Viljo Laukkanen, O.D.
• Kimthuy Tuan Le, M.D.
• Kara Lee, L.M.T,
• Sung Hee Lee, O.D
• Philip Raymond Lentz, ATC, MS
• Stephanie L Letson, LMT
• Alan Robert Liljenberg, LMT
• McKenzie Lind
• Treyvan Lindekugel, PT, DPT

• Speech-Language Pathologist in Forest Grove, OR
• Providers in Forest Grove, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.