Active NPI
Katie Lynn Mangus, CCC-SLP/L
- Speech-Language Pathologist
- Farmington Hills, MI
National Provider Identifier
1073426995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101000162
- Practice address
- 23800 Tuck Rd # 48336
Farmington Hills, MI 48336-2769 - Phone
- (248) 489-3722
- NPI assigned
- Sep 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101000162 | MI | Primary |
Addresses
Primary practice location
23800 Tuck Rd # 48336
Farmington Hills, MI 48336-2769
Mailing address
4922 White Tail CT
Commerce Township, MI 48382-5403
Phone (248) 909-4804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790121600000",
"number": "1073426995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4922 WHITE TAIL CT",
"city": "COMMERCE TOWNSHIP",
"state": "MI",
"postal_code": "483825403",
"telephone_number": "248-909-4804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23800 TUCK RD # 48336",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483362769",
"telephone_number": "248-489-3722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGUS",
"first_name": "KATIE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "CCC-SLP/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-23",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101000162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.