Active NPI
Mitchell Clifton Warmbein, M.A. SLP
- Speech-Language Pathologist
- Cortland, OH
National Provider Identifier
1902270291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.12209
- Practice address
- 4174 Greenville Rd
Cortland, OH 44410-9750 - Phone
- (330) 505-2800
- NPI assigned
- Nov 24, 2015
- Sex
- Male
- 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 | SP.12209 | OH | Primary |
Addresses
Primary practice location
4174 Greenville Rd
Cortland, OH 44410-9750
Mailing address
4174 Greenville Rd
Cortland, OH 44410-9750
Phone (330) 505-2800
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.12209 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486684800000",
"number": "1902270291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4174 GREENVILLE RD",
"city": "CORTLAND",
"state": "OH",
"postal_code": "444109750",
"telephone_number": "330-505-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4174 GREENVILLE RD",
"city": "CORTLAND",
"state": "OH",
"postal_code": "444109750",
"telephone_number": "330-505-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARMBEIN",
"first_name": "MITCHELL",
"middle_name": "CLIFTON",
"credential": "M.A. SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-24",
"last_updated": "2017-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.12209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cortland, OH
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.