Individual provider Active NPI

Tamy S Chelst, PHD

  • Audiologist
  • Southfield, MI
National Provider Identifier
1023077518
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000156 Issued in MI
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

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
640003157OtherMIPALMETTO GBA-RAILROAD
AD0043OtherMABCBS MA
5102839MedicaidMA
711249OtherMAHARVARD PILGRIM
792556OtherMATUFTS
0F32633OtherMIHEALTH ALLIANCE PLAN(HAP)
1506196OtherMIUMWA
804697126MedicaidMI
87945OtherMIBLUE CARE NETWORK
640002190OtherMAPALMETTO GBA-RAILROAD
640F32633OtherMIBCBS MI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MI, NY, FL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
001908NYMDOccupational Therapist
572MAMDAudiologist
1601000156MIMDAudiologist
000173CTMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.