Blake Gellner

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101005800 Issued in MI

Practice address

830 Kirts Blvd Ste 305
Troy, MI 48084-4892

Phone

(124) 876-0212

NPI assigned

Aug 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Blake Scollick Former name

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": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1093230146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 KIRTS BLVD STE 305",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844892",
            "telephone_number": "124-876-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 KIRTS BLVD STE 305",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844892",
            "telephone_number": "124-876-0212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Middle Grave Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Moundsville",
            "state": "WV",
            "postal_code": "260416009",
            "country_code": "US",
            "telephone_number": "304-231-3820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GELLNER",
        "first_name": "BLAKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "1803",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAKE",
            "last_name": "SCOLLICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caroline P Gee, LMSW
• Michael Raymond Gee, LAT
• Mareena Susan Geevarghese, PA-C
• Crystal Geiser, LMSW
• Laura Gell, B.A., M.A., LPC, NCC
• Jennifer Lynn Gemellaro, PA-C
• Gentle Champs Home Care LLC
• Geoffey M Saham, M.D.P C
• Jaclynn George, L.L.P.C.
• Jenny George, MD

• Speech-Language Pathologist in Troy, MI
• Providers in Troy, 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 Sep 18, 2018; 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.