Active NPI
Mackenzie Deutsch, M.S., CCC-SLP
- Speech-Language Pathologist
- Minnetonka, MN
National Provider Identifier
1306218573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9532
- Practice address
- 2000 Plymouth Rd
Suite 220
Minnetonka, MN 55305-2366 - Phone
- (952) 223-2506
- NPI assigned
- Oct 27, 2015
- Last updated
- Oct 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9532 | MN | Primary |
Addresses
Primary practice location
2000 Plymouth Rd
Suite 220
Minnetonka, MN 55305-2366
Mailing address
7433 W Franklin Ave
Saint Louis Park, MN 55426-2014
Phone (605) 881-4497
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunnydays Therapy Inc | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445904000000",
"number": "1306218573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7433 W FRANKLIN AVE",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554262014",
"telephone_number": "605-881-4497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 PLYMOUTH RD",
"address_2": "SUITE 220",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553052366",
"telephone_number": "952-223-2506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEUTSCH",
"first_name": "MACKENZIE",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-27",
"last_updated": "2015-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "9532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.