Madalyn Michael

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2023033488 Issued in MO

Practice address

2824 Seckman Rd
Imperial, MO 63052-1941

Phone

(636) 296-2030

NPI assigned

Aug 23, 2023

Last updated

Aug 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1033993605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 MORGAN WAY",
            "city": "IMPERIAL",
            "state": "MO",
            "postal_code": "630524106",
            "telephone_number": "314-520-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 SECKMAN RD",
            "city": "IMPERIAL",
            "state": "MO",
            "postal_code": "630521941",
            "telephone_number": "636-296-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "MADALYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2023033488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Christopher Leach, DC
• Debra Lever
• Emily Mack, DMD
• Bailey Macke
• Jennifer Lea McKenzie, M.A. CCC-SLP
• Kaitlyn Marie Monaco, COTA/L
• Andrea Christine Muir, RN, BSN
• Kimberly Mullins, SLP
• Conner Naes
• Tamera Newberry, CP, COA

• Speech-Language Pathologist in Imperial, MO
• Providers in Imperial, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.