Organization Active NPI

Yardley Speech Therapy Inc

  • Hearing and Speech Clinic/Center
  • Milford, MI
National Provider Identifier
1164049730
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
YARDLEY SPEECH THERAPY INC
Practice address
1432 Hunters Lake Dr
Milford, MI 48380-3246
Phone
(734) 765-2262
NPI assigned
Jun 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Megan C Hallgren, CCC-SLPNPI 1609343607
Title
Owner
Phone
(734) 765-2262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

1432 Hunters Lake Dr
Milford, MI 48380-3246

Mailing address

1432 Hunters Lake Dr
Milford, MI 48380-3246
Phone (734) 765-2262

Other identifiers 1

IdentifierTypeStateIssuer
1609343607OtherNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL yardleyspeechtherapy@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200925001479 MI Part B Supplier - Clinic/Group Practice 8325467210 Receives reassigned benefits from 1 practitioner
Practice locations: Milford, MI

National Provider Directory

National Provider Directory

Locations

1432 Hunters Lake Dr
Milford, MI 48380
Phone (734) 765-2262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1164049730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 HUNTERS LAKE DR",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483803246",
            "telephone_number": "734-765-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 HUNTERS LAKE DR",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483803246",
            "telephone_number": "734-765-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YARDLEY SPEECH THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "HALLGREN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-765-2262",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609343607",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "yardleyspeechtherapy@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1432 Hunters Lake Dr",
            "city": "Milford",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483803246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.