Individual provider Active NPI

Sydney Erin Krolikowski, M.A CCC-SLP

  • Speech-Language Pathologist
  • Pontiac, MI
National Provider Identifier
1255806667
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101008911 Issued in MI
Practice address
3000 Centerpoint Pkwy
Pontiac, MI 48341-3116
Phone
(248) 857-6776
Fax
(248) 857-7102
NPI assigned
Oct 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 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 7101008911 MI Primary

Addresses

Primary practice location

3000 Centerpoint Pkwy
Pontiac, MI 48341-3116

Mailing address

32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454
Phone (248) 712-4266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240510000581 MI Practitioner - Qualified Speech Language Pathologist 1456792233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mansach Enterprises LLCGroup PAC ID 5991934184, 3 clinicians

Practice addresses (Care Compare)

3000 Centerpoint Pkwy
Pontiac, MI 48341-3116
Phone (248) 857-6776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Mansach Enterprises LLC Speech-Language Pathologist CurrentSince Feb 1, 2025 Accepting new patients
Ivyrehab Michigan, LLC Speech-Language Pathologist CurrentSince Apr 29, 2024 Accepting new patients
Mansach Enterprises LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

30100 Telegraph Rd
Ste 140
Bingham Farms, MI 48025
Phone (248) 385-0030

24142 W Warren St
Ste B
Dearborn Heights, MI 48127
Phone (313) 277-5508

135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272

1764 S Ortonville Rd
Ste 400
Ortonville, MI 48462
Phone (248) 793-5730

3000 Centerpoint Pkwy
Pontiac, MI 48341
Phone (248) 857-6776

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1255806667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32100 TELEGRAPH RD STE 205",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252454",
            "telephone_number": "248-712-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CENTERPOINT PKWY",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483413116",
            "telephone_number": "248-857-6776",
            "fax_number": "248-857-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROLIKOWSKI",
        "first_name": "SYDNEY",
        "middle_name": "ERIN",
        "name_prefix": "Ms.",
        "credential": "M.A CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101008911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.

Verify at the official NPI Registry.