Individual provider Active NPI

Haley Elyse Macielewicz, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Bowling Green, OH
National Provider Identifier
1659895019
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.13072 Issued in OH
Practice address
18505 Tontogany Creek Rd Ste 4
Bowling Green, OH 43402-9037
Phone
(419) 344-2419
NPI assigned
Jul 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.13072 OH Primary

Addresses

Primary practice location

18505 Tontogany Creek Rd Ste 4
Bowling Green, OH 43402-9037

Mailing address

203 Genson Dr
Haskins, OH 43525-9522
Phone (419) 344-2419

Other practice location 1

45 St Lawrence Dr
Tiffin, OH 44883-8310
Phone (419) 447-7203

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hmacielewicz@otsegoknights.org Direct OTSEGO LOCAL SCHOOL DISTRICT

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 Science

State licenses

LicenseStateTypeSpecialty
SP.13072OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1659895019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 GENSON DR",
            "city": "HASKINS",
            "state": "OH",
            "postal_code": "435259522",
            "telephone_number": "419-344-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18505 TONTOGANY CREEK RD STE 4",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029037",
            "telephone_number": "419-344-2419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 St Lawrence Dr",
            "address_purpose": "LOCATION",
            "city": "Tiffin",
            "state": "OH",
            "postal_code": "448838310",
            "country_code": "US",
            "telephone_number": "419-447-7203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACIELEWICZ",
        "first_name": "HALEY",
        "middle_name": "ELYSE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.13072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hmacielewicz@otsegoknights.org",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "OTSEGO LOCAL SCHOOL DISTRICT",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "School Email",
            "address_1": "18505 Tontogany Creek Rd Ste 4",
            "city": "Bowling Green",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434029037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.