Active NPI
Haley Anne Wansitler, M.A. CCC-SLP
- Speech-Language Pathologist
- Flat Rock, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101009056
- Practice address
- 23537 Telegraph Rd
Flat Rock, MI 48134-9330 - Phone
- (313) 278-4601
- NPI assigned
- Sep 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101009056 | MI | Primary |
Addresses
Primary practice location
23537 Telegraph Rd
Flat Rock, MI 48134-9330
Mailing address
23537 Telegraph Rd
Flat Rock, MI 48134-9330
Phone (313) 278-4601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101009056 | MI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mini Mitten Pediatric Therapy, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Dearborn Speech and Sensory Center, Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
23537 Telegraph Rd
Flat Rock, MI 48134
7447 N Telegraph Rd
#M
Monroe, MI 48162
Phone (734) 888-6464
7447 N Telegraph Rd
Monroe, MI 48162
Phone (734) 888-6464
44670 Ann Arbor Rd W
Ste 130
Plymouth, MI 48170
Phone (424) 295-8088
44670 Ann Arbor Rd W
Plymouth, MI 48170
Phone (313) 636-2896
Organizations & group practices 2
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.
-
- Behavior Analyst
- Plymouth, MI
- NPI 1033510821
Speech-Language Pathologist
-
- Occupational Therapist
- Monroe, MI
- NPI 1528655826
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1457901415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23537 TELEGRAPH RD",
"city": "FLAT ROCK",
"state": "MI",
"postal_code": "481349330",
"telephone_number": "313-278-4601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23537 TELEGRAPH RD",
"city": "FLAT ROCK",
"state": "MI",
"postal_code": "481349330",
"telephone_number": "313-278-4601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANSITLER",
"first_name": "HALEY",
"middle_name": "ANNE",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-12",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101009056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flat Rock, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.