Active NPI
Debra L Katz, M.A., CCC-SLP
- Speech-Language Pathologist
- Toledo, OH
National Provider Identifier
1619647260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 107368530
- Practice address
- 4606 Waterford CT
Toledo, OH 43623-2988 - Phone
- (419) 704-8672
- NPI assigned
- Sep 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 107368530 | OH | Primary |
Addresses
Primary practice location
4606 Waterford CT
Toledo, OH 43623-2988
Mailing address
4606 Waterford CT
Toledo, OH 43623-2988
Phone (419) 704-8672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP-3650 | Other | OH | OHIO BOARD OF SPEECH AND LANGUAGE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107368530 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1619647260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4606 WATERFORD CT",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436232988",
"telephone_number": "419-704-8672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4606 WATERFORD CT",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436232988",
"telephone_number": "419-704-8672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "DEBRA",
"middle_name": "L",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-15",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "107368530",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO BOARD OF SPEECH AND LANGUAGE",
"identifier": "SP-3650",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.