NPIMap

Organization Active NPI

Oakland Myo and Wellness Institute, LLC

  • Speech-Language Pathologist
  • Rochester, MI
National Provider Identifier
1033964697
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
OAKLAND MYO AND WELLNESS INSTITUTE, LLC
Practice address
410 W University Dr Ste a
Rochester, MI 48307-1938
Phone
(248) 266-5438
NPI assigned
Apr 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Michelle R Richards, MA, CCC-SLPNPI 1831944495
Title
Owner, Director
Phone
(586) 557-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

410 W University Dr Ste a
Rochester, MI 48307-1938

Mailing address

48196 Conifer Dr
Shelby Township, MI 48315-6804
Phone (586) 557-3600

Other names 1

  • Oakland Myo and Wellness Institute, LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Michelle Richards Ma CCC-SLP LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1033964697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48196 CONIFER DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156804",
            "telephone_number": "586-557-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W UNIVERSITY DR STE A",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071938",
            "telephone_number": "248-266-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND MYO AND WELLNESS INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER, DIRECTOR",
        "authorized_official_telephone_number": "586-557-3600",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakland Myo and Wellness Institute, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.