Patricia Lucille Dicioccio, MA CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP00345 Issued in OH

Practice address

6825 Gates Mills Blvd
Gates Mills, OH 44040-9310

Phone

(216) 408-7441

NPI assigned

Mar 30, 2020

Last updated

Mar 30, 2020By the provider in NPPES

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

Enrolled in OH

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • West Chester, OH
  • NPI 1174153266

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1538797063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 GATES MILLS BLVD",
            "city": "GATES MILLS",
            "state": "OH",
            "postal_code": "440409310",
            "telephone_number": "216-408-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 GATES MILLS BLVD",
            "city": "GATES MILLS",
            "state": "OH",
            "postal_code": "440409310",
            "telephone_number": "216-408-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICIOCCIO",
        "first_name": "PATRICIA",
        "middle_name": "LUCILLE",
        "credential": "MA CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP00345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Healthcare Technologies, Inc.
• Mohammad Ansari-Dezfuli
• Carl Ansevin, M.D.
• Ahmad Ascha, MD
• Kara Lynn Dolling, MS, ATC, CSCS, PES
• Dr Michael Saalouke MD Inc
• Bridget Fiorello
• Suzanne Fitzgerald
• Fourth Down LLC

• Speech-Language Pathologist in Gates Mills, OH
• Providers in Gates Mills, 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 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.