Active NPI
Stefanie Peck, M.A. CCC-SLP
- Speech-Language Pathologist
- Solon, OH
National Provider Identifier
1972654747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP6712
- Practice address
- 6325 Cochran Rd Ste 2
Solon, OH 44139-3930 - Phone
- (440) 498-1100
- Fax
- (440) 498-1100
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6712 | OH | |
| Speech-Language Pathologist | 235Z00000X | SP6712 | OH | Primary |
Addresses
Primary practice location
6325 Cochran Rd Ste 2
Solon, OH 44139-3930
Mailing address
6325 Cochran Rd Ste 2
Solon, OH 44139-3930
Phone (440) 498-1100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stefanie@center4lifeskills.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6712 | OH | MD | Speech-Language Pathologist |
| SP6712 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Lifeskills, LLC | Single Specialty | Current | Accepting new patients |
| Stefanie J. Peck, M.a. CCC-SLP | Current | Accepting new patients |
Locations
31005 Bainbridge Rd
Ste 7
Solon, OH 44139
Phone (440) 489-1100
6325 Cochran Rd
Ste 2
Solon, OH 44139
Phone (440) 498-1100
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.
-
- Hearing and Speech Clinic/Center
- Solon, OH
- NPI 1669743480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586217600000",
"number": "1972654747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6325 COCHRAN RD STE 2",
"city": "SOLON",
"state": "OH",
"postal_code": "441393930",
"telephone_number": "440-498-1100",
"fax_number": "440-498-1149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6325 COCHRAN RD STE 2",
"city": "SOLON",
"state": "OH",
"postal_code": "441393930",
"telephone_number": "440-498-1100",
"fax_number": "440-498-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECK",
"first_name": "STEFANIE",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2020-04-07",
"certification_date": "2020-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "6712",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP6712",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stefanie@center4lifeskills.com",
"affiliation": "N",
"endpointDescription": "secure email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "not sure",
"address_1": "6325 Cochran Rd Ste 2",
"city": "Solon",
"state": "OH",
"country_code": "US",
"postal_code": "441393930",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Solon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.