Mackenzie Galbreath

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101008555 Issued in MI

Practice address

2855 44TH St SW Ste 160
Grandville, MI 49418-2682

Phone

(616) 379-9887

NPI assigned

May 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Thrive Pediatric Speech and Feeding Therapy, LLC

  • Multi-Specialty Clinic/Center
  • Grandville, MI
  • NPI 1265074827

  Speech-Language Pathologist

  Medicare reassignment NPD
• Peak Play Speech Therapy, PLLC

  • Speech-Language Pathologist
  • Wayland, MI
  • NPI 1427983329
  NPD Authorized official

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1124510714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 44TH ST SW STE 160",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182682",
            "telephone_number": "616-379-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 44TH ST SW STE 160",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182682",
            "telephone_number": "616-379-9887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3065 College Rd",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997093702",
            "country_code": "US",
            "telephone_number": "907-374-1686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALBREATH",
        "first_name": "MACKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0004832",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101008555",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "207042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fredric C Devries OD PC
• Cynthia J Freeney
• Fuel Health & Wellness - Grandville, PLLC
• Barbara K Fulton, MD
• Jessica Nicole Gabert
• Ashley Marie Gardner
• Karen L Garibaldi, MD
• Javen Dior Giles
• Madison Gill
• Rachael Renee Gillette

• Speech-Language Pathologist in Grandville, MI
• Providers in Grandville, 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 Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.