Taylor Sydow, MA CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101007428 Issued in MI

Practice address

664 S Howell St
Pinckney, MI 48169-8711

Phone

(231) 838-2414

Fax

(734) 878-2179

NPI assigned

Jul 1, 2022

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

Enrolled in MI, CO2 enrollments

Enrollment records 2

Specialty

Qualified Speech Language Pathologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Rehabilitation Colorado, LLCGroup PAC ID 0446641179, 99 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empowerme Rehabilitation Colorado, LLC

  • Multi-Specialty Clinic/Center
  • Denver, CO
  • NPI 1063176493

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Wellbridge of Pinckney, LLC

  • Skilled Nursing Facility
  • Pinckney, MI
  • NPI 1952762452
  NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375
  NPD (past)

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1083347637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 S HOWELL ST",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481698711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 S HOWELL ST",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481698711",
            "telephone_number": "231-838-2414",
            "fax_number": "734-878-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYDOW",
        "first_name": "TAYLOR",
        "credential": "MA CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101007428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Elizabeth Stalmack, D.C.
• William Stevenson, DDS
• Max David Sturm
• Michelle Sunny, MA
• Deanna J Swan, LLMSW
• Paul James Tarvis
• The Dat Lab, LLC
• Tahnee Michel Thibodeau, RD, CNSC
• Whitney Thiry, LLMSW
• Puja Kumarie Uppal, D.O.

• Speech-Language Pathologist in Pinckney, MI
• Providers in Pinckney, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.