Individual provider Active NPI

Cynthia Ann Ellermeyer, M.S. C.C.C. SLP

  • Speech-Language Pathologist
  • Grove City, PA
National Provider Identifier
1780705202
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL001125L Issued in PA
Practice address
Grove City Medical Center
631 North Broad St Ext
Grove City, PA 16127
Phone
(724) 450-7099
Fax
(724) 450-7096
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SL001125L PA Primary

Addresses

Primary practice location

Grove City Medical Center
631 North Broad St Ext
Grove City, PA 16127

Mailing address

200 Arrowhead Dr
Slippery Rock, PA 16057-2634
Phone (724) 794-3029

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
SL001125LPAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780705202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ARROWHEAD DR",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160572634",
            "telephone_number": "724-794-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GROVE CITY MEDICAL CENTER",
            "address_2": "631 NORTH BROAD ST EXT",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "16127",
            "telephone_number": "724-450-7099",
            "fax_number": "724-450-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLERMEYER",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S. C.C.C. SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL001125L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.