Tessie S Wakefield, MA CCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP3045 Issued in OH

Practice address

270 Sterkel Blvd
The Rehab Center
Mansfield, OH 44907-2207

Phone

(419) 756-1133

Fax

(419) 756-6544

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Tessie J Sakellakis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992803423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 HUNTERS RIDGE",
            "city": "LEXINGTON",
            "state": "OH",
            "postal_code": "44904",
            "telephone_number": "419-884-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 STERKEL BLVD",
            "address_2": "THE REHAB CENTER",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072207",
            "telephone_number": "419-756-1133",
            "fax_number": "419-756-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "TESSIE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MA CCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP3045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000125366",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "3407897499218",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSIE",
            "last_name": "SAKELLAKIS",
            "middle_name": "J",
            "credential": "MA CCCSLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meghan Wagner, LPCC
• Miranda Wagnitz
• Lyneal Marie Wainwright, LICDC
• Jill A Waite, LPCC-S
• Elizabeth Bailey Wakefield, D.P.M.
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Walgreen Co

• Speech-Language Pathologist in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.