Active NPI
Clear Connections Speech and Language
- Speech-Language Pathologist
- Shelby TWP, MI
National Provider Identifier
1205524634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- CLEAR CONNECTIONS SPEECH AND LANGUAGE
- Practice address
- 53715 Franklin Dr
Shelby TWP, MI 48316-2309 - Phone
- (586) 209-4101
- NPI assigned
- Apr 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Claire-Elizabeth Gawel, MA, CCC-SLP
- Title
- Owner/Speech-Language Pathologist
- Phone
- (586) 675-2486
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
53715 Franklin Dr
Shelby TWP, MI 48316-2309
Mailing address
53715 Franklin Dr
Shelby TWP, MI 48316-2309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240308002903 | MI | Part B Supplier - Clinic/Group Practice | 0042656365 | Practice locations: Shelby TWP, MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707782400000",
"number": "1205524634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53715 FRANKLIN DR",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483162309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53715 FRANKLIN DR",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483162309",
"telephone_number": "586-209-4101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEAR CONNECTIONS SPEECH AND LANGUAGE",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-25",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A",
"authorized_official_last_name": "GAWEL",
"authorized_official_first_name": "CLAIRE-ELIZABETH",
"authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "586-675-2486",
"authorized_official_credential": "MA, CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.