Susan Drockton, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

71010076 Issued in MI

Practice address

2472 Ashmun St
Sault Sainte Marie, MI 49783-3768

Phone

(906) 635-4426

NPI assigned

Dec 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mymichigan Medical Center Sault

  dba War Memorial Behavorial Center

  • Psychiatric Hospital Unit
  • Kincheloe, MI
  • NPI 1629260203
  NPD (past)

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1265143366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 W 13TH ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2472 ASHMUN ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497833768",
            "telephone_number": "906-635-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROCKTON",
        "first_name": "SUSAN",
        "credential": "SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "71010076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Donmyer, CNM
• Ann Dougherty
• Megan Stafford Doyle, PT
• Jessica E. Driesenga, PA
• David Anthony Drockton, DDS
• Kaylenah Renee Dumas
• Allen B Dunning, M.D.
• Eastern Upper Peninsula Intermediate School District
• Julanne Josephine Eberhart
• Megan Sue Eby, MD

• Speech-Language Pathologist in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.