Individual provider Active NPI

Michelle Cox Psyk, MACCCSLP

  • Speech-Language Pathologist
  • Waxhaw, NC
National Provider Identifier
1346575842
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7726 Issued in NC
Practice address
2300 Gallberry LN
Waxhaw, NC 28173-0161
Phone
(704) 649-4509
NPI assigned
Oct 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 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 7726 NC Primary

Addresses

Primary practice location

2300 Gallberry LN
Waxhaw, NC 28173-0161

Mailing address

1825 Napoli Dr
Apex, NC 27502-9658
Phone (919) 561-0330

Other identifiers 1

IdentifierTypeStateIssuer
16081OtherNCBLUE CROSS BLUE SHIELD NORTH CAROLINA

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7726NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Milestone Therapy Inc Speech-Language Pathologist CurrentSince Feb 2, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1346575842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 NAPOLI DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275029658",
            "telephone_number": "919-561-0330",
            "fax_number": "919-746-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GALLBERRY LN",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281730161",
            "telephone_number": "704-649-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSYK",
        "first_name": "MICHELLE",
        "middle_name": "COX",
        "credential": "MACCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-16",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NORTH CAROLINA",
            "identifier": "16081",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.