Michael E Kuldanek, M.S CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

29369 Issued in CA

Practice address

35751 Gateway Dr Unit L1236
Palm Desert, CA 92211-6047

Phone

(218) 464-3789

NPI assigned

Jul 2, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Easy Speech Pathology, Inc.

  • Multi-Specialty Clinic/Center
  • Palm Desert, CA
  • NPI 1124434261
  Medicare reassignment NPD
• Stroke Recovery Center

  • Voluntary or Charitable Agency
  • Palm Springs, CA
  • NPI 1891038881
  NPD (past)

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1467079616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35751 GATEWAY DR UNIT L1236",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116047",
            "telephone_number": "218-464-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35751 GATEWAY DR UNIT L1236",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116047",
            "telephone_number": "218-464-3789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41555 Cook St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922115184",
            "country_code": "US",
            "telephone_number": "760-837-0033",
            "fax_number": "760-837-1013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 East Alejo Road",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "92262",
            "country_code": "US",
            "telephone_number": "760-323-7676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULDANEK",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "credential": "M.S CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-02",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "29369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Lerene Kroll
• Kaylea Faith Kronsted
• Amanda L Krull, CMT
• Catherine Krumplitsch
• Claire Kruppe, M.D.
• Nattayanee Kumsat
• Weilin Kuo, PHARMD
• Jennie Kuon, PHARMD
• Ashley Nicole Kwasniuk, OT
• Audrey Kwon, PHARMD

• Speech-Language Pathologist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.