Active NPI
SLC Therapy
- Behavior Analyst
- Westland, MI
National Provider Identifier
1134436561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- SLC THERAPY
- Practice address
- 36500 Ford Rd
#229
Westland, MI 48185-3769 - Phone
- (866) 752-0899
- Fax
- (203) 604-0602
- NPI assigned
- Sep 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Landria Monique Seals, M,A., CCC-SLP
- Title
- Ceo
- Phone
- (866) 752-0899
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Speech-Language Assistant | 2355S0801X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
36500 Ford Rd
#229
Westland, MI 48185-3769
Mailing address
36500 Ford Rd
#229
Westland, MI 48185-3769
Phone (866) 752-0899
National Provider Directory
National Provider Directory- Tax ID family
- SLC Therapy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Livonia, MI
- NPI 1396170130
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Livonia, MI
- NPI 1679876676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283817600000",
"number": "1134436561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36500 FORD RD",
"address_2": "#229",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481853769",
"telephone_number": "866-752-0899",
"fax_number": "203-604-0602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36500 FORD RD",
"address_2": "#229",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481853769",
"telephone_number": "866-752-0899",
"fax_number": "203-604-0602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLC THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-07",
"last_updated": "2010-09-07",
"status": "A",
"authorized_official_last_name": "SEALS",
"authorized_official_first_name": "LANDRIA",
"authorized_official_middle_name": "MONIQUE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "866-752-0899",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M,A., CCC-SLP"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "2355S0801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.