Active NPI
Alison Catherine Dejak
- Speech-Language Pathologist
- Richmond Heights, OH
National Provider Identifier
1831403542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- COND.2011031-SP
- Practice address
- 3 Merit Dr
Richmond Heights, OH 44143-1457 - Phone
- (216) 261-9600
- Fax
- (216) 261-9662
- NPI assigned
- Aug 5, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | COND.2011031-SP | OH | Primary |
Addresses
Primary practice location
3 Merit Dr
Richmond Heights, OH 44143-1457
Mailing address
20201 N Park Blvd
Apt. 111
Shaker Heights, OH 44118-5000
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
| License | State | Type | Specialty |
|---|---|---|---|
| COND.2011031-SP | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1831403542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20201 N PARK BLVD",
"address_2": "APT. 111",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441185000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 MERIT DR",
"city": "RICHMOND HEIGHTS",
"state": "OH",
"postal_code": "441431457",
"telephone_number": "216-261-9600",
"fax_number": "216-261-9662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJAK",
"first_name": "ALISON",
"middle_name": "CATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-05",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "COND.2011031-SP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.