Individual provider Active NPI

Linda Lange, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Cleveland, OH
National Provider Identifier
1912084971
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.06882 Issued in OH
Practice address
11635 Euclid Ave
Cleveland, OH 44106-4319
Phone
(216) 231-8787
Fax
(216) 231-7141
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-6882 OH
Speech-Language Pathologist 235Z00000X SP.06882 OH Primary

Addresses

Primary practice location

11635 Euclid Ave
Cleveland, OH 44106-4319

Mailing address

11635 Euclid Ave
Cleveland, OH 44106-4319
Phone (216) 231-8787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211201002983 OH Practitioner - Qualified Speech Language Pathologist 9133519317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Ohio State University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Hearing and Speech CenterGroup PAC ID 2163590217, 13 clinicians

Practice addresses (Care Compare)

6001 Euclid Ave
Suite 100
Cleveland, OH 44103-3719
Phone (216) 231-8787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP-6882OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Hearing and Speech Center Speech-Language Pathologist CurrentSince Nov 1, 2021 Accepting new patients

Locations

11635 Euclid Ave
Cleveland, OH 44106
Phone (216) 231-8787

6001 Euclid Ave
Ste 100
Cleveland, OH 44103
Phone (216) 231-8787

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1912084971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11635 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441064319",
            "telephone_number": "216-231-8787",
            "fax_number": "216-231-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11635 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441064319",
            "telephone_number": "216-231-8787",
            "fax_number": "216-231-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP-6882",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.06882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.