NPIMap

Organization Active NPI

Western Reserve Speech&Language Partners

  • Speech-Language Pathologist
  • Chardon, OH
National Provider Identifier
1932506805
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP7439 Issued in OH
Legal business name
WESTERN RESERVE SPEECH&LANGUAGE PARTNERS
Practice address
100 Seventh Ave Ste 255
Chardon, OH 44024-7804
Phone
(440) 285-0775
Fax
(440) 940-9952
NPI assigned
Nov 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Authorized official

Name
Nancy E Theofrastous, MA,CCC,SLP
Title
Owner,
Phone
(440) 285-0775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SP7439 OH Primary

Addresses

Primary practice location

100 Seventh Ave Ste 255
Chardon, OH 44024-7804

Mailing address

100 Seventh Ave Ste 255
Chardon, OH 44024-7804
Phone (440) 285-0775

National Provider Directory

National Provider Directory

Locations

100 7th Ave
Ste 255
Chardon, OH 44024
Phone (440) 285-0775

Practitioners & affiliated clinicians

Practitioners 3

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": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1932506805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SEVENTH AVE STE 255",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440247804",
            "telephone_number": "440-285-0775",
            "fax_number": "440-940-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SEVENTH AVE STE 255",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440247804",
            "telephone_number": "440-285-0775",
            "fax_number": "440-940-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN RESERVE SPEECH&LANGUAGE PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "THEOFRASTOUS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER,",
        "authorized_official_telephone_number": "440-285-0775",
        "authorized_official_credential": "MA,CCC,SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP7439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.