Jacob Thomas Yurik

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.14954 Issued in OH

Practice address

390 Fair St
Berea, OH 44017-2399

Phone

(216) 898-8300

NPI assigned

Sep 4, 2023

Sex

Male

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

State licenses

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1770369068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4823 W 227TH ST",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262410",
            "telephone_number": "330-461-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 FAIR ST",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172399",
            "telephone_number": "216-898-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURIK",
        "first_name": "JACOB",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.14954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I-Shan Yang, IMFT
• Kathryn Ann Yates, QMHS-BA
• Sarah Morgan Yelsik
• Jenna Manuella Yglesias
• Shalita Monique Young, QMHS BA
• Rebecka Lynn Yurko, RN
• Nicole Zarobila
• Hailee Zendlo, PA-C
• Thomas Ziegler, LISW
• Jeffrey Alan Zielinski

• Speech-Language Pathologist in Berea, OH
• Providers in Berea, 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 Sep 4, 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.