Active NPI
Haley Elyse Macielewicz, M.S., CCC-SLP
- Speech-Language Pathologist
- Bowling Green, OH
National Provider Identifier
1659895019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.13072
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SP.13072 | OH | MD | Speech-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.