Micaela McCallum

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

7110 Michigan Rd
Bay City, MI 48706-9310

Phone

(989) 415-9289

NPI assigned

Aug 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Micaela Kesseler Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Wildflower Therapy

  • Speech-Language Pathologist
  • Clio, MI
  • NPI 1922807171
  Medicare reassignment NPD Authorized official
• Game Changer Pediatric Therapy Services LLC

  • Pediatric Occupational Therapist
  • Bay City, MI
  • NPI 1437506383
  Medicare reassignment

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1407467525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 MICHIGAN RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069310",
            "telephone_number": "989-415-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 MICHIGAN RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069310",
            "telephone_number": "989-415-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLUM",
        "first_name": "MICAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICAELA",
            "last_name": "KESSELER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tara Mays
• Brent Michael Maze, PAC
• Darneal M McAllister, ACSW LMSW
• Barbara Lynn McAuley, LPN
• Olivia McCallister
• Alyne R McCann, FNP
• Ashley Marrie McCann
• Laurel N McClure, BSW
• Sara Ann McCoy, PHARMACY TECHNICIAN
• Jasmine McCree

• Speech-Language Pathologist in Bay City, MI
• Providers in Bay City, 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 Mar 11, 2025; 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.