Active NPI
Tamy S Chelst, PHD
- Audiologist
- Southfield, MI
National Provider Identifier
1023077518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1601000156
- Practice address
- 22536 N Bellwood Dr
Southfield, MI 48034-2115 - Phone
- (800) 357-6879
- Fax
- (248) 353-2268
- NPI assigned
- Mar 22, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 572 | MA | |
| Hearing Instrument Specialist | 237700000X | 000173 | CT | |
| Audiologist | 231H00000X | 1601000156 | MI | Primary |
Addresses
Primary practice location
22536 N Bellwood Dr
Southfield, MI 48034-2115
Mailing address
22536 N Bellwood Dr
Southfield, MI 48034-2115
Phone (800) 357-6879
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 640003157 | Other | MI | PALMETTO GBA-RAILROAD |
| AD0043 | Other | MA | BCBS MA |
| 5102839 | Medicaid | MA | |
| 711249 | Other | MA | HARVARD PILGRIM |
| 792556 | Other | MA | TUFTS |
| 0F32633 | Other | MI | HEALTH ALLIANCE PLAN(HAP) |
| 1506196 | Other | MI | UMWA |
| 804697126 | Medicaid | MI | |
| 87945 | Other | MI | BLUE CARE NETWORK |
| 640002190 | Other | MA | PALMETTO GBA-RAILROAD |
| 640F32633 | Other | MI | BCBS MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, MI, NY, FL
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091015000348 | MA | Practitioner - Qualified Audiologist | 4082608955 | Practice locations: Newton, MA |
| I20101014000762 | MI | Practitioner - Qualified Audiologist | 4082608955 | Practice locations: Southfield, MI |
| I20120109000433 | NY | Practitioner - Qualified Audiologist | 4082608955 | Practice locations: Woodmere, NY |
| I20170510002885 | FL | Practitioner - Qualified Audiologist | 4082608955 | Practice locations: Boca Raton, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2097 Yarmouth E
Boca Raton, FL 33434-4553
Phone (248) 910-6603
636 Emerson St
Woodmere, NY 11598-2830
Phone (248) 910-6603
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001908 | NY | MD | Occupational Therapist |
| 572 | MA | MD | Audiologist |
| 1601000156 | MI | MD | Audiologist |
| 000173 | CT | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tamy S Chelst PHD | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Audiologist-Hearing Aid Fitter
- Southfield, MI
- NPI 1952639627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1023077518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22536 N BELLWOOD DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480342115",
"telephone_number": "800-357-6879",
"fax_number": "248-353-2268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22536 N BELLWOOD DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480342115",
"telephone_number": "800-357-6879",
"fax_number": "248-353-2268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHELST",
"first_name": "TAMY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "572",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CT",
"license": "000173",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "1601000156",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA-RAILROAD",
"identifier": "640003157",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "AD0043",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5102839",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "711249",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "792556",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN(HAP)",
"identifier": "0F32633",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1506196",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "804697126",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "87945",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA-RAILROAD",
"identifier": "640002190",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MI",
"identifier": "640F32633",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.