Michelle Mallino, SLP-CFY

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101005294 Issued in MI

Practice address

42536 Hayes Rd
Ste. 100
Clinton Township, MI 48038-6766

Phone

(586) 286-9644

NPI assigned

Sep 8, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Quality Care Rehabilitation Professionals

  • Occupational Therapist
  • Shelby Township, MI
  • NPI 1437718830
  NPD (past)

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1366810368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14053 MCKINNEY DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483122427",
            "telephone_number": "586-863-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42536 HAYES RD",
            "address_2": "STE. 100",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386766",
            "telephone_number": "586-286-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLINO",
        "first_name": "MICHELLE",
        "credential": "SLP-CFY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.003781",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamad Makki, DO
• Martin J Makowski, DDS
• Josephine Makrush, LLPC
• Victor Maldonado, M.D.
• Izabela Jadwiga Malewicz
• Mikayla Anne Mallory
• Maja Maloney, PA-C
• Katherine Maltester
• Irfan Mamoun, M.D.
• Manaf Seid-Arabi, M.D. P.C.

• Speech-Language Pathologist in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.