Individual provider Active NPI

Melissa Toll

  • Speech-Language Pathologist
  • Hartland, MI
National Provider Identifier
1184197642
Registry record updated Sep 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101005970 Issued in MI
Practice address
12319 Highland Rd Ste 501
Hartland, MI 48353-2946
Phone
(810) 991-1211
NPI assigned
Jan 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101005970 MI Primary

Addresses

Primary practice location

12319 Highland Rd Ste 501
Hartland, MI 48353-2946

Mailing address

449 Harbor Way
Ann Arbor, MI 48103-6664
Phone (609) 214-4814

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL melissa@childrenscenterforgrowth.com

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

State licenses

LicenseStateTypeSpecialty
7101005970MIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567900800000",
    "number": "1184197642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 HARBOR WAY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036664",
            "telephone_number": "609-214-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12319 HIGHLAND RD STE 501",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532946",
            "telephone_number": "810-991-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLL",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "melissa@childrenscenterforgrowth.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "12319 Highland Rd Ste 501",
            "city": "Hartland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483532946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hartland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; 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.