MRS. KATHLEEN ELLEN DERGA (MACCC/SLP) – Speech-Language Pathologist, NPI 1174586838

Speech-Language Pathologist

MRS. KATHLEEN ELLEN DERGA (MACCC/SLP) is a healthcare provider. based in Independence, Ohio. specializing in Speech-Language Pathologist. They hold the professional credentials MACCC/SLP. They hold a License No. SP.02499 (OH). The NPI Number for MRS. KATHLEEN ELLEN DERGA (MACCC/SLP) is 1174586838

Main info

Female

47 Years Of Experience

Accepts Medicare Assignment

Name

MRS. KATHLEEN ELLEN DERGA (MACCC/SLP)

NPI

1174586838

Phone

(216) 459-2846

Address

5000 ROCKSIDE RD STE 500

Enumeration Date

11 April 2006

Last Update Date

6 November 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3307234530

Graduation Year

1979 (47 years ago)

PAC ID

3072666833

Group Practice PAC ID

0941363485

Professional Enrollment ID

I20090728000198

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for MRS. KATHLEEN ELLEN DERGA (MACCC/SLP)

Rockside Road, Independence, Cuyahoga County, Ohio, 44137, United States
INDEPENDENCE, OH 441312178
Phone: (216) 459-2846
Fax: (216) 901-2803
Type: Mailing
West Liberty Street, Medina, Medina County, Ohio, 44256, United States
MEDINA, OH 442562221
Phone: (216) 749-6650
Fax: (330) 723-8920
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44131)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 0941363485View full group profile

Name	Specialty	State
MRS. AMANDA JOY VANDERVORT (MPT)	-	OH
THERESA M KRESS (OTR/L)	-	OH
JENNIFER MARIE QUILL (PT)	-	OH
MR. NENAD CECEZ (DPT)	-	OH
KELLY BRUCE GIBSON (DPT)	-	OH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is MRS. KATHLEEN ELLEN DERGA (MACCC/SLP) identified in CMS data?

CMS-hosted NPPES data lists MRS. KATHLEEN ELLEN DERGA (MACCC/SLP) with NPI 1174586838.

Does the file indicate MRS. KATHLEEN ELLEN DERGA (MACCC/SLP) is practicing under active NPI?

Directory data currently reports MRS. KATHLEEN ELLEN DERGA (MACCC/SLP) as active.

What is MRS. KATHLEEN ELLEN DERGA (MACCC/SLP)'s primary classification?

Speech-Language Pathologist is the headline specialty for MRS. KATHLEEN ELLEN DERGA (MACCC/SLP) here. Clinical services aligned with this taxonomy classification.

Where is MRS. KATHLEEN ELLEN DERGA (MACCC/SLP) based?

MRS. KATHLEEN ELLEN DERGA (MACCC/SLP) is tied to Independence, Ohio in the data we show; additional addresses may exist on the full record.

Is the information about MRS. KATHLEEN ELLEN DERGA (MACCC/SLP) up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."