Individual provider Active NPI

Katelyn Joy Baker

  • Speech-Language Pathologist
  • Massillon, OH
National Provider Identifier
1962091777
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.14737 Issued in OH
Practice address
1920 Manchester Ave NW
Massillon, OH 44647-9017
Phone
(330) 837-7809
NPI assigned
Jan 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SP.14737 OH Primary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X COND.20201596-SP OH

Addresses

Primary practice location

1920 Manchester Ave NW
Massillon, OH 44647-9017

Mailing address

6203 Oakcrest Ave NW
Canton, OH 44718-1141
Phone (330) 620-6661

Other practice location 1

6001 Euclid Ave Ste 100
Cleveland, OH 44103-3709
Phone (216) 231-8787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241205001201 OH Practitioner - Qualified Speech Language Pathologist 6002342755 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
COND.20201596-SPOHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Hearing and Speech Center Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Cleveland Hearing and Speech Center PastSince Jan 1, 2025 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

5084 Mayfield Rd
Lyndhurst, OH 44124
Phone (216) 231-8787

Organizations & group practices 2

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": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1962091777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6203 OAKCREST AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447181141",
            "telephone_number": "330-620-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 MANCHESTER AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446479017",
            "telephone_number": "330-837-7809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 Euclid Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441033709",
            "country_code": "US",
            "telephone_number": "216-231-8787",
            "fax_number": "216-325-7687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KATELYN",
        "middle_name": "JOY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.14737",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.20201596-SP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.