Individual provider Active NPI

Shanley Belle Treleaven, PHD, CCC-SLP, MS

  • Speech-Language Pathologist
  • Ann Arbor, MI
National Provider Identifier
1285421438
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101008207 Issued in MI
Practice address
4121 Jackson Rd
Ann Arbor, MI 48103-1827
Phone
(734) 263-2493
NPI assigned
Apr 22, 2025
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 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 7101008207 MI Primary

Addresses

Primary practice location

4121 Jackson Rd
Ann Arbor, MI 48103-1827

Mailing address

4121 Jackson Rd
Ann Arbor, MI 48103-1827
Phone (734) 263-2493

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250501002727 MI Practitioner - Qualified Speech Language Pathologist 3779009774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1285421438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 JACKSON RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031827",
            "telephone_number": "734-263-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 JACKSON RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031827",
            "telephone_number": "734-263-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRELEAVEN",
        "first_name": "SHANLEY",
        "middle_name": "BELLE",
        "name_prefix": "Dr.",
        "credential": "PHD, CCC-SLP, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101008207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.

Verify at the official NPI Registry.