Individual provider Active NPI

Susan Elaine Marchi

  • Speech-Language Pathologist
  • Massillon, OH
National Provider Identifier
1780071019
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.2436 Issued in OH
Practice address
7503 Mudbrook St NW
Massillon, OH 44646-1108
Phone
(330) 830-8028
Fax
(330) 830-8032
NPI assigned
Apr 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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.2436 OH Primary

Addresses

Primary practice location

7503 Mudbrook St NW
Massillon, OH 44646-1108

Mailing address

7496 Ellesmere Ave NW
North Canton, OH 44720-1638
Phone (330) 497-7617

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

State licenses

LicenseStateTypeSpecialty
SP.2436OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1780071019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7496 ELLESMERE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201638",
            "telephone_number": "330-497-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7503 MUDBROOK ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446461108",
            "telephone_number": "330-830-8028",
            "fax_number": "330-830-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHI",
        "first_name": "SUSAN",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.2436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.