Organization Active NPI

Maryellen M. Zinnecker, Ma, CCC-SLP, L.L.C.

  • Early Intervention Provider Agency
  • Loveland, OH
National Provider Identifier
1912353046
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
MARYELLEN M. ZINNECKER, MA, CCC-SLP, L.L.C.
Practice address
12095 Stone Point CT
Loveland, OH 45140-5420
Phone
(513) 702-3101
Fax
(513) 672-0704
NPI assigned
May 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Mrs. Maryellen M Zinnecker, SLPNPI 1558463133
Title
President/Manager
Phone
(513) 702-3101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

12095 Stone Point CT
Loveland, OH 45140-5420

Mailing address

12095 Stone Point CT
Loveland, OH 45140-5420
Phone (513) 702-3101

Other practice location 1

1855 Poplar Dr
Loveland, OH 45140-2621
Phone (513) 702-3101

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1912353046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12095 STONE POINT CT",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451405420",
            "telephone_number": "513-702-3101",
            "fax_number": "513-672-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12095 STONE POINT CT",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451405420",
            "telephone_number": "513-702-3101",
            "fax_number": "513-672-0704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1855 Poplar Dr",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "OH",
            "postal_code": "451402621",
            "country_code": "US",
            "telephone_number": "513-702-3101",
            "fax_number": "513-672-0704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARYELLEN M. ZINNECKER, MA, CCC-SLP, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-07",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "ZINNECKER",
        "authorized_official_first_name": "MARYELLEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/MANAGER",
        "authorized_official_telephone_number": "513-702-3101",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.