Individual provider Active NPI

Marissa Lee D'Alfonso

  • Speech-Language Pathologist
  • Sterling Heights, MI
National Provider Identifier
1235863713
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101009372 Issued in MI
Practice address
43599 Schoenherr Rd Ste 100
Sterling Heights, MI 48313-1177
Phone
(586) 884-3621
Fax
(248) 726-2288
NPI assigned
Jul 12, 2022
Last updated
May 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101009372 MI Primary

Addresses

Primary practice location

43599 Schoenherr Rd Ste 100
Sterling Heights, MI 48313-1177

Mailing address

43599 Schoenherr Rd Ste 100
Sterling Heights, MI 48313-1177
Phone (586) 884-3621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7101009372MIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1235863713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43599 SCHOENHERR RD STE 100",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131177",
            "telephone_number": "586-884-3621",
            "fax_number": "248-726-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43599 SCHOENHERR RD STE 100",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131177",
            "telephone_number": "586-884-3621",
            "fax_number": "248-726-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ALFONSO",
        "first_name": "MARISSA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101009372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.