Samantha Robbins, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101005488 Issued in MI

Practice address

16016 Dunblaine Ave
Beverly Hills, MI 48025-4167

Phone

(734) 215-5620

NPI assigned

Oct 17, 2014

Sex

Female

Sole proprietor

Yes

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

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southeast Michigan Speech Therapy, LLC

  • Hearing and Speech Clinic/Center
  • Beverly Hills, MI
  • NPI 1508448762
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1396149498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16016 DUNBLAINE AVE",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480254167",
            "telephone_number": "219-309-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16016 DUNBLAINE AVE",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480254167",
            "telephone_number": "734-215-5620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 E Superior St",
            "address_2": "Rehabilitation Institute of Chicago",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112654",
            "country_code": "US",
            "telephone_number": "312-238-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "SAMANTHA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005488",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146012443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahma Worldwide Aid and Development (Mental Health America in Southeastern Michigan)
• Laura Ramaj
• Mark E Redman, MD
• Jumoi-Antonio Shemar-David Reid, LPC, LLMFT, MA, NCC
• Bailey Rice, RDN
• Marlene Margaret Roth, M.D.
• Jaber Saad, MD
• Joseph Salama, M.D.
• Sales,Food,&Health Service LLC
• Kelly L Salter, AT

• Speech-Language Pathologist in Beverly Hills, MI
• Providers in Beverly Hills, 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 Dec 6, 2021; 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.