Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134520364 Individual Practitioner Female Practitioner

Jackie Bungo , MA, CCC-SLP

Speech-Language Pathologist • Ravenna, OH

Professional Overview & Biography Verified Profile Summary

Jackie Bungo, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Ravenna, OH. Practice services are available at 3590 STATE ROUTE 59 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3590 State Route 59

Ravenna, OH 442661380

Telephone 3302976708
Associated Practice Facility / Clinic
🏢 Ravenna City School District Facility NPI 1164633426

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Ravenna, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
19 Specialists

Practicing in Ravenna, OH (7718 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License OH SP6345

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Asha
12033476
Commercial Insurance / Payer ID Ohio Board Of Speech-Language Pathology And Audiology
SP6345

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Kristine Vitalone

Speech-Language Pathologist

NPI 1093182677
Linda Spriggs , M ED, EDS

Psychologist - School

NPI 1285031757

Master of Education, EDS

Kristen Marvinney , EDS, NCSP

Psychologist - School

NPI 1548667686
Phyllis Badgley

Psychologist - School

NPI 1699164707
Shirli Dana , MACCC-SLP

Speech-Language Pathologist

NPI 1992106207

MACCCSLP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 08, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 08, 2014

Registered at 3590 STATE ROUTE 59, RAVENNA, OH 442661380 (Tel: 3302976708)

📍
Updated Business Mailing Address September 08, 2014

Registered at 3590 STATE ROUTE 59, RAVENNA, OH 442661380 (Tel: 3302976708)

👤
Provider Name / Credentials Updated September 08, 2014

Recorded as JACKIE BUNGO, MA/CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2014

Speech-Language Pathologist (License #SP6345 in OH)

🟢
Initial NPI Registration & Enumeration September 08, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134520364
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2014
Last Update: September 08, 2014
Sole Proprietor: Yes

Mailing Address

3590 State Route 59

Ravenna, OH 442661380

Phone: 3302976708

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.