Jackie Z. Michaelides

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.6482 Issued in OH

Practice address

2681 Gregory Rd
Cheshire Elementary School-Olentangy Local Schools
Delaware, OH 43015

Phone

(740) 657-5750

Fax

(740) 657-5799

NPI assigned

Jul 1, 2014

Sex

Female

Sole proprietor

Yes

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Educational Service Center of Central Ohio

  • Local Education Agency (LEA)
  • Columbus, OH
  • NPI 1164660023
  NPD (past)

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1750796553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CITYGATE DR",
            "address_2": "EDUCATIONAL SERVICE CENTER OF CENTRAL OHIO",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43219",
            "telephone_number": "614-445-3750",
            "fax_number": "614-445-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2681 GREGORY RD",
            "address_2": "CHESHIRE ELEMENTARY SCHOOL-OLENTANGY LOCAL SCHOOLS",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "43015",
            "telephone_number": "740-657-5750",
            "fax_number": "740-657-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELIDES",
        "first_name": "JACKIE",
        "middle_name": "Z.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.6482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Michelle Melvin, CDCA
• Joel Allen Mercer
• Gene Gavin Metz, R.PH., PHARMD
• Phyllis R. Meyer, M.A., CCC-SLP
• Nathan Meyers
• Kristen Michonski, PA-C
• Leah Katherine Middelberg
• Rosanna Miesse
• Kim A Miles
• Terrie Miles

• Speech-Language Pathologist in Delaware, OH
• Providers in Delaware, 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 Jul 1, 2014; 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.