Renee Ogle Gottliebson, PH.D.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP8943 Issued in OH

Practice address

7588 Central Parke Blvd Ste 122
Mason, OH 45040-6857

Phone

(513) 204-1610

NPI assigned

Dec 9, 2011

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

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Miami University Speech and Hearing ClinicGroup PAC ID 1153355060, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Miami University Speech & Hearing Clinic

  • Audiologist
  • Oxford, OH
  • NPI 1205057122

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1568730141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7588 CENTRAL PARKE BLVD STE 122",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406857",
            "telephone_number": "513-204-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7588 CENTRAL PARKE BLVD STE 122",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406857",
            "telephone_number": "513-204-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEBSON",
        "first_name": "RENEE",
        "middle_name": "OGLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP8943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Gonzalez
• Good Shepherd Transport
• Angela E Goodlin
• Hiral Jayesh Gorasia
• Ashley Nicole Gordon
• Gotucare LLC
• Alana Goukler, RN
• Donna Blochaviak Goukler, O.D.
• Erin Grace, RBT
• Shea Elizabeth Daniels Graham, LPCC-S

• Speech-Language Pathologist in Mason, OH
• Providers in Mason, 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 Dec 9, 2011; 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.