Organization Active NPI

Community Speech Services, Inc

  • Speech-Language Pathologist
  • North Canton, OH
National Provider Identifier
1609963545
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
COMMUNITY SPEECH SERVICES, INC
Practice address
4700 Massillon Rd
North Canton, OH 44720-1166
Phone
(330) 896-9119
Fax
(330) 896-1185
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Mrs. Sara E Wolosiansky, MA CCC SLPNPI 1821462433
Title
Director Speech Language Patholog
Phone
(330) 896-9119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

4700 Massillon Rd
North Canton, OH 44720-1166

Mailing address

PO Box 667
Green, OH 44232-0667
Phone (330) 896-9119

Other identifiers 3

IdentifierTypeStateIssuer
000000208929OtherOHANTHEM BCBS
282685899001OtherOHMEDICAL MUTUAL OF OHIO
0915479MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160204001249 OH Part B Supplier - Clinic/Group Practice 6103120571 Receives reassigned benefits from 2 practitioners
Practice locations: North Canton, OH

National Provider Directory

National Provider Directory

Locations

3570 Executive Dr
Ste 104
Green, OH 44685

4700 Massillon Rd
Green, OH 44720
Phone (330) 896-9119

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1609963545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 667",
            "city": "GREEN",
            "state": "OH",
            "postal_code": "442320667",
            "telephone_number": "330-896-9119",
            "fax_number": "330-896-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 MASSILLON RD",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201166",
            "telephone_number": "330-896-9119",
            "fax_number": "330-896-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SPEECH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "WOLOSIANSKY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR   SPEECH LANGUAGE PATHOLOG",
        "authorized_official_telephone_number": "330-896-9119",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA CCC SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000208929",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "282685899001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0915479",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.