Stacey Anne Shulman, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01100217 Issued in MI

Practice address

26385 Humber St
Huntington Woods, MI 48070-1221

Phone

(248) 770-4042

NPI assigned

Dec 12, 2011

Last updated

Dec 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michigan Pediatric Therapy PLC

  • Pediatric Occupational Therapist
  • Farmington Hills, MI
  • NPI 1649862368
  Medicare reassignment NPD

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1184992661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26385 HUMBER ST",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701221",
            "telephone_number": "248-770-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26385 HUMBER ST",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701221",
            "telephone_number": "248-770-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULMAN",
        "first_name": "STACEY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "01100217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lalit J Shah, MD
• Shashikant Shah
• Shanvasectomy PLLC
• Jack Shartsis, M.D.
• Meagan Shepherd, LPC
• James Anthony Singer, DDS
• Skilled Lactation Solutions LLC
• Matthew James Smith, D.D.S.
• Emily Sroka
• Marianne Stefan, D.D.S.

• Speech-Language Pathologist in Huntington Woods, MI
• Providers in Huntington Woods, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.