Individual provider Active NPI

Mary Christine David, SLP

  • Speech-Language Pathologist
  • Rockford, MI
National Provider Identifier
1437909116
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7152000809 Issued in MI
Practice address
515 E Division St
Rockford, MI 49341-1377
Phone
(616) 267-2980
NPI assigned
Mar 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7152000809 MI Primary

Addresses

Primary practice location

515 E Division St
Rockford, MI 49341-1377

Mailing address

515 E Division St
Rockford, MI 49341-1377
Phone (616) 267-2980

Other practice location 1

4065 E Hills Ct SE
Grand Rapids, MI 49546-6299
Phone (616) 942-2081

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Primary Care Partners Current Accepting new patients
Spectrum Health Primary Care Partners Speech-Language Pathologist CurrentSince Mar 15, 2025 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Mar 15, 2025 Accepting new patients
Easterseals Morc Health Care, Inc. CurrentSince Mar 10, 2024 Accepting new patients
Comprehensive Therapy Center Inc Speech-Language Pathologist PastSince Mar 1, 2024 Accepting new patients

Locations

2399 E Walton Blvd
Auburn Hills, MI 48326
Phone (248) 475-6400

4065 E Hills Ct SE
Grand Rapids, MI 49546
Phone (616) 942-2081

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

22170 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 357-8197

Organizations & group practices 5

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": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1437909116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E DIVISION ST",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411377",
            "telephone_number": "616-267-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E DIVISION ST",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411377",
            "telephone_number": "616-267-2980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4065 E Hills Ct SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495466299",
            "country_code": "US",
            "telephone_number": "616-942-2081",
            "fax_number": "616-942-5932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVID",
        "first_name": "MARY",
        "middle_name": "CHRISTINE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7152000809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.