Connor Christian Abell, M.A. CF-SLP
Individual provider Active NPI Speech-Language Pathologist · Schoolcraft, MI
NPI 1316631278 · NPPES record last updated Jun 5, 2023
Key facts
- NPI
- 1316631278
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 701 Poplar
Schoolcraft, MI 49087-8747 - Phone
- (269) 329-8945
- NPI assigned
- Jun 5, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tmi East Inc
Practice addresses (Care Compare)
16106 W 12 Mile Rd
Southfield, MI 48076-2974
Phone (810) 701-4633
16351 Rotunda Dr
Dearborn, MI 48120-1170
Phone (810) 701-4633
851 Penniman Ave
Plymouth, MI 48170-1621
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250506002765 | MI | Practitioner - Qualified Speech Language Pathologist | 6800313594 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tmi East, Inc. | Current |
Accepting new patients |
Locations
851 Penniman Ave
Plymouth, MI 48170
Phone (248) 349-9595
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | MI | Yes |
Addresses
Primary practice location
701 Poplar
Schoolcraft, MI 49087-8747
Mailing address
701 Poplar
Schoolcraft, MI 49087-8747
Phone (269) 329-8945
Other providers in Schoolcraft, MI
- Alex Keefer PLLC
- Janet Allen
- Angela Mucha LPC & Brian Scott LPC LLC
- Angela Mucha, LPC & Brian Scott , LPC , LLC
- Angela Mucha, LPC & Brian Scott , LPC, LLC
All providers in Schoolcraft, MI · Speech-Language Pathologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.