Individual provider Active NPI

Susan M Daley, SLP

  • Speech-Language Pathologist
  • Auburn Hills, MI
National Provider Identifier
1093287179
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101003718 Issued in MI
Practice address
2251 N Squirrel Rd
Auburn Hills, MI 48326-4600
Phone
(248) 656-6757
NPI assigned
Dec 29, 2018
Last updated
Jan 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101003718 MI Primary

Addresses

Primary practice location

2251 N Squirrel Rd
Auburn Hills, MI 48326-4600

Mailing address

425 Arbor Pine Dr
Ortonville, MI 48462-8646
Phone (248) 515-3201

Other practice location 1

26105 Orchard Lake Rd Ste 311
Farmington Hills, MI 48334-4510
Phone (248) 615-0852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7101003718MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Senior Care Home Health of Detroit LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1546041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1093287179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ARBOR PINE DR",
            "city": "ORTONVILLE",
            "state": "MI",
            "postal_code": "484628646",
            "telephone_number": "248-515-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 N SQUIRREL RD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483264600",
            "telephone_number": "248-656-6757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26105 Orchard Lake Rd Ste 311",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483344510",
            "country_code": "US",
            "telephone_number": "248-615-0852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALEY",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-29",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101003718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.