Individual provider Active NPI

Allison Levick, MA, CCC-SLP

  • Speech-Language Pathologist
  • Royal Oak, MI
National Provider Identifier
1467068478
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101000423 Issued in MI
Practice address
4401 W 13 Mile Rd
Royal Oak, MI 48073-6516
Phone
(248) 566-3525
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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 7101000423 MI Primary

Addresses

Primary practice location

4401 W 13 Mile Rd
Royal Oak, MI 48073-6516

Mailing address

4260 N McNay CT
West Bloomfield, MI 48323-2839
Phone (248) 672-0480

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201030000988 MI Practitioner - Qualified Speech Language Pathologist 6608286794 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7101000423MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Orthopedic Rehabilitation LLC CurrentSince Sep 20, 2020 Accepting new patients

Locations

4401 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 566-3525

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.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1467068478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 N MCNAY CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232839",
            "telephone_number": "248-672-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736516",
            "telephone_number": "248-566-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVICK",
        "first_name": "ALLISON",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101000423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.