NPIMap

Organization Active NPI

Downriver Speech Clinic LLC

  • Speech-Language Pathologist
  • Riverview, MI
National Provider Identifier
1225636798
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
DOWNRIVER SPEECH CLINIC LLC
Practice address
14600 King Rd Ste C1
Riverview, MI 48193-7952
Phone
(734) 288-7963
NPI assigned
Oct 15, 2020
Last updated
Aug 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Mr. Dan O'Reilly
Title
President
Phone
(734) 288-7963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

14600 King Rd Ste C1
Riverview, MI 48193-7952

Mailing address

14600 King Rd Ste C1
Riverview, MI 48193-7952
Phone (734) 288-7963

National Provider Directory

National Provider Directory

Locations

14600 King Rd
Ste C1
Riverview, MI 48193
Phone (734) 288-7963

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1225636798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 KING RD STE C1",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937952",
            "telephone_number": "734-288-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 KING RD STE C1",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937952",
            "telephone_number": "734-288-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER SPEECH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2024-08-01",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "O'REILLY",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-288-7963",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Riverview, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.