Naberhaus Therapy, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101004496 Issued in MI

Legal business name

NABERHAUS THERAPY, INC.

Practice address

16295 Hi Land TRL
Linden, MI 48451-9087

Phone

(810) 265-8891

NPI assigned

Dec 13, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Bradley Naberhaus

Title

President

Phone

(734) 454-0866

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Building Bridges Therapy Center Doing business as

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1174067979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16295 HI LAND TRL",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484519087",
            "telephone_number": "810-265-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16295 HI LAND TRL",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484519087",
            "telephone_number": "810-265-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NABERHAUS THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "NABERHAUS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-454-0866",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101004496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION (ASHA) CERTIFICATION NUMBER",
            "identifier": "14064170",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN SPEECH-LANGUAGE PATHOLOGY LICENSE NUMBER",
            "identifier": "7101004496",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Building Bridges Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Linden, MI
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.