Active NPI
Camille Reid Haslinger, CCC-SLP
- Speech-Language Pathologist
- Port Huron, MI
National Provider Identifier
1194295287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14194836
- Practice address
- 1300 Beard St
Port Huron, MI 48060-6562 - Phone
- (810) 982-9500
- NPI assigned
- Nov 30, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 14194836 | MI | Primary |
Addresses
Primary practice location
1300 Beard St
Port Huron, MI 48060-6562
Mailing address
2960 Beach Rd Apt 1
Port Huron, MI 48060-2786
Phone (616) 485-9227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25900 Greenfield Rd
Suite 100
Oak Park, MI 48237-1297
Phone (248) 788-4300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14194836 | MI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Skills Village, PLLC | Current | Accepting new patients |
Locations
25900 Greenfield Rd
Ste 10
Oak Park, MI 48237
Phone (248) 788-4300
25900 Greenfield Rd
Ste 100
Oak Park, MI 48237
Phone (248) 788-4300
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Oak Park, MI
- NPI 1629316815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1194295287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2960 BEACH RD APT 1",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480602786",
"telephone_number": "616-485-9227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 BEARD ST",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480606562",
"telephone_number": "810-982-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASLINGER",
"first_name": "CAMILLE",
"middle_name": "REID",
"name_prefix": "Ms.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-30",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "14194836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.