Individual provider Active NPI

Brooke Sheena Sagherian, MS CCC-SLP

  • Speech-Language Pathologist
  • West Bloomfield, MI
National Provider Identifier
1376166058
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101006791 Issued in MI
Practice address
5600 W Maple Rd Ste B209
West Bloomfield, MI 48322-3707
Phone
(248) 497-2205
NPI assigned
May 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101006791 MI Primary
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

5600 W Maple Rd Ste B209
West Bloomfield, MI 48322-3707

Mailing address

6849 Post Oak Dr
West Bloomfield, MI 48322-3835
Phone (248) 497-2205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200604002476 MI Practitioner - Qualified Speech Language Pathologist 0840611539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7101006791MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunny Speech PLLC Speech-Language Pathologist CurrentSince Feb 12, 2026 Accepting new patients

Locations

5600 W Maple Rd
Ste B209
West Bloomfield, MI 48322
Phone (248) 270-7186

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": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1376166058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6849 POST OAK DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223835",
            "telephone_number": "248-497-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W MAPLE RD STE B209",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223707",
            "telephone_number": "248-497-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGHERIAN",
        "first_name": "BROOKE",
        "middle_name": "SHEENA",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101006791",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.