Individual provider Active NPI

Mary Sarah Hilberg, MA, CCC-SLP

  • Speech-Language Pathologist
  • Medina, OH
National Provider Identifier
1972759694
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP5727 Issued in OH
Practice address
555 Springbrook Dr
Medina, OH 44256-3651
Phone
(330) 725-3393
Fax
(330) 725-6771
NPI assigned
Aug 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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 SP5727 OH Primary

Addresses

Primary practice location

555 Springbrook Dr
Medina, OH 44256-3651

Mailing address

246 W Homestead St
Medina, OH 44256-3130
Phone (330) 952-0953

Other names 1

  • Mary Sarah Abood Former name

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

LicenseStateTypeSpecialty
SP5727OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1972759694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 W HOMESTEAD ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563130",
            "telephone_number": "330-952-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SPRINGBROOK DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563651",
            "telephone_number": "330-725-3393",
            "fax_number": "330-725-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILBERG",
        "first_name": "MARY",
        "middle_name": "SARAH",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP5727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ABOOD",
            "middle_name": "SARAH",
            "credential": "MA, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.