Michael J Granahan, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2592 E Grand Ave Ste 209
Lindenhurst, IL 60046-5915

Phone

(847) 265-1460

NPI assigned

Jan 30, 2008

Last updated

Jan 30, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

Practice roles

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.

• Children's Therapy and Rehab Specialists

  • Rehabilitation Practitioner
  • Lindenhurst, IL
  • NPI 1376779512
  NPD (past)
• Hope's Playground Pediatric Therapy, Inc.

  • Pediatric Occupational Therapist
  • Antioch, IL
  • NPI 1639394893
  NPD (past)

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1104003334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2592 E GRAND AVE STE 209",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600465915",
            "telephone_number": "847-265-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2592 E GRAND AVE STE 209",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600465915",
            "telephone_number": "847-265-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANAHAN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genrikh Gandelsman, D.D.S.
• Genrikh Gandelsman DDS MSD LTD
• Brian C. Gniadek, D.D.S.
• Richard L Goodson
• Jessica Goschy, LPC
• Kenneth John Groh, P.T.
• Lauren Gruber
• Ivalis Anita Guajardo, MS SLP
• Sarah Gurchak, PA-C
• Janet Haro

• Speech-Language Pathologist in Lindenhurst, IL
• Providers in Lindenhurst, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.