Individual provider Active NPI

Jarrad Van Stan, PHD, CCC-SLP

  • Speech-Language Pathologist
  • Cleveland, OH
National Provider Identifier
1912811407
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.17159 Issued in OH
Practice address
2112 Euclid Ave RM 203-C
Cleveland, OH 44115-2215
Phone
(216) 687-3883
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.17159 OH Primary

Addresses

Primary practice location

2112 Euclid Ave RM 203-C
Cleveland, OH 44115-2215

Mailing address

1490 Mars Ave
Lakewood, OH 44107-3821
Phone (216) 687-3883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1912811407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 MARS AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073821",
            "telephone_number": "216-687-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 EUCLID AVE RM 203-C",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152215",
            "telephone_number": "216-687-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN STAN",
        "first_name": "JARRAD",
        "name_prefix": "Dr.",
        "credential": "PHD, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.17159",
            "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 Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.