Alissa K Mazzocchi, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.14074 Issued in OH

Practice address

15982 E High St
Middlefield, OH 44062-9474

Phone

(440) 632-0261

NPI assigned

Aug 4, 2020

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 and National Provider Directory roles.

• Cardinal Local

  • Local Education Agency (LEA)
  • Middlefield, OH
  • NPI 1053557991
  NPD (past)

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1619587763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "SHIPPENVILLE",
            "state": "PA",
            "postal_code": "162540247",
            "telephone_number": "814-227-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15982 E HIGH ST",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629474",
            "telephone_number": "440-632-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZOCCHI",
        "first_name": "ALISSA",
        "middle_name": "K",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.14074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylin Mahoney, PHARMD
• Pamela Elizabeth Martin, D.D.S.
• Robert S Martin
• Nicolette Martorello
• Cassandra Mattix, OTR
• Mary McGroarty
• MD Dalton Healthcare Inc.
• MD Dalton Healthcare Inc.
• Middlefield Care Center, Inc.
• Ada Mae Miller

• Speech-Language Pathologist in Middlefield, OH
• Providers in Middlefield, 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 Aug 4, 2020; 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.