Active NPI
Mark Alan Felsenfeld, MA CCC-SLP (SPEECH)
- Speech-Language Pathologist
- Farmington Hills, MI
National Provider Identifier
1144210204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 00792770
- Practice address
- 29915 Muirland Dr
Farmington Hills, MI 48334-2050 - Phone
- (248) 672-6109
- Fax
- (248) 855-7669
- NPI assigned
- Oct 28, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 00792770 | MI | Primary |
Addresses
Primary practice location
29915 Muirland Dr
Farmington Hills, MI 48334-2050
Mailing address
29915 Muirland Dr
Farmington Hills, MI 48334-2050
Phone (248) 672-6109
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00792770 | MI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1144210204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29915 MUIRLAND DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342050",
"telephone_number": "248-672-6109",
"fax_number": "248-855-7669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29915 MUIRLAND DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342050",
"telephone_number": "248-672-6109",
"fax_number": "248-855-7669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELSENFELD",
"first_name": "MARK",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "MA CCC-SLP (SPEECH)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "00792770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.