Active NPI
Lakes Speech & Language Pathology, LLC
- Speech-Language Pathologist
- Commerce Township, MI
National Provider Identifier
1215549902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- LAKES SPEECH & LANGUAGE PATHOLOGY, LLC
- Practice address
- 8896 Commerce Rd Ste 2B
Commerce Township, MI 48382-4494 - Phone
- (248) 860-1555
- NPI assigned
- Aug 23, 2020
- 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
- Sarah Waldie, M.A., CCC-SLP
- Title
- Speech-Language Pathologist
- Phone
- (248) 860-1555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
8896 Commerce Rd Ste 2B
Commerce Township, MI 48382-4494
Mailing address
8896 Commerce Rd Ste 2B
Commerce TWP, MI 48382-4494
Phone (248) 860-1555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8896 Commerce Rd
Ste 2B
Commerce Twp, MI 48382
Phone (248) 762-5295
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Commerce Township, MI
- NPI 1427525021
-
- Speech-Language Pathologist
- Royal Oak, MI
- NPI 1497222764
-
- Speech-Language Pathologist
- Commerce TWP, MI
- NPI 1780150664
-
- Speech-Language Pathologist
- Commerce Township, MI
- NPI 1588530612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666051200000",
"number": "1215549902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8896 COMMERCE RD STE 2B",
"city": "COMMERCE TWP",
"state": "MI",
"postal_code": "483824494",
"telephone_number": "248-860-1555",
"fax_number": "248-716-9214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8896 COMMERCE RD STE 2B",
"city": "COMMERCE TOWNSHIP",
"state": "MI",
"postal_code": "483824494",
"telephone_number": "248-860-1555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKES SPEECH & LANGUAGE PATHOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-23",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A",
"authorized_official_last_name": "WALDIE",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "248-860-1555",
"authorized_official_credential": "M.A., 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 Commerce Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.