Active NPI
Malachi Henry
- Speech-Language Pathologist
- Bloomington, IN
National Provider Identifier
1346995339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22007836A
- Practice address
- 640 S Walker St Ste a
Bloomington, IN 47403-2158 - Phone
- (812) 200-2777
- NPI assigned
- Feb 17, 2022
- Sex
- Male
- 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 | 22007836A | IN | Primary |
Addresses
Primary practice location
640 S Walker St Ste a
Bloomington, IN 47403-2158
Mailing address
1701 Library Blvd Ste a
Greenwood, IN 46142-1567
Phone (317) 881-9923
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22007836A | IN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collaborating for Kids, LLC | Current | Accepting new patients |
Locations
1701 Library Blvd
Ste A
Greenwood, IN 46142
Phone (317) 881-9923
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.
-
- Clinical Psychologist
- Greenwood, IN
- NPI 1851626386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1346995339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 LIBRARY BLVD STE A",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421567",
"telephone_number": "317-881-9923",
"fax_number": "317-881-9966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 S WALKER ST STE A",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032158",
"telephone_number": "812-200-2777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "MALACHI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-17",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22007836A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.