Individual provider Active NPI

Megan Siekkinen, MA, CCC-SLP

  • Speech-Language Pathologist
  • Morton Grove, IL
National Provider Identifier
1487062246
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146013124 Issued in IL
Practice address
8200 Gross Point Rd
Morton Grove, IL 60053-3534
Phone
(847) 966-6210
NPI assigned
Jul 24, 2014
Last updated
Aug 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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 146013124 IL Primary

Addresses

Primary practice location

8200 Gross Point Rd
Morton Grove, IL 60053-3534

Mailing address

4315 N Kenmore Ave Apt 2N
Chicago, IL 60613-1360
Phone (248) 891-8751

Other practice location 1

7839 Lincoln Ave
Skokie, IL 60077-3640
Phone (847) 676-3545

Other practice location 2

5100 Madison St
Skokie, IL 60077-2554
Phone (847) 675-3048

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
146013124ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Pediatric Therapy Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1487062246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 N KENMORE AVE APT 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131360",
            "telephone_number": "248-891-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 GROSS POINT RD",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533534",
            "telephone_number": "847-966-6210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7839 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600773640",
            "country_code": "US",
            "telephone_number": "847-676-3545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 Madison St",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600772554",
            "country_code": "US",
            "telephone_number": "847-675-3048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEKKINEN",
        "first_name": "MEGAN",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146013124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.