Individual provider Active NPI

Bonnie Wagoner Isacke, PHD

  • Speech-Language Pathologist
  • Pittsburgh, PA
National Provider Identifier
1841398567
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL000239L Issued in PA
Practice address
201 Penn Center Blvd
Suite 555
Pittsburgh, PA 15235-5442
Phone
(412) 421-0184
Fax
(412) 261-4276
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS006785L PA
Speech-Language Pathologist 235Z00000X SL000239L PA Primary

Addresses

Primary practice location

201 Penn Center Blvd
Suite 555
Pittsburgh, PA 15235-5442

Mailing address

201 Penn Center Blvd
Suite 555
Pittsburgh, PA 15235-5442
Phone (412) 421-0184

Other identifiers 1

IdentifierTypeStateIssuer
743751OtherPAHIGHMARK BCBS PSYCHOLOGY

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SL000239LPAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1841398567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PENN CENTER BLVD",
            "address_2": "SUITE 555",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355442",
            "telephone_number": "412-421-0184",
            "fax_number": "412-261-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PENN CENTER BLVD",
            "address_2": "SUITE 555",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355442",
            "telephone_number": "412-421-0184",
            "fax_number": "412-261-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISACKE",
        "first_name": "BONNIE",
        "middle_name": "WAGONER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006785L",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL000239L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS PSYCHOLOGY",
            "identifier": "743751",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.