Active NPI
Arbor Autism Centers Allied Health LLC
- Speech-Language Pathologist
- Ann Arbor, MI
National Provider Identifier
1508438219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- ARBOR AUTISM CENTERS ALLIED HEALTH LLC
- Practice address
- 1400 Hatcher Cres
Ann Arbor, MI 48103-2426 - Phone
- (734) 657-1470
- Fax
- (734) 527-5981
- NPI assigned
- Jul 13, 2021
- Organization subpart
- Yes
- Parent organization
- ARBOR AUTISM CENTERS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Philip Menard
- Title
- Member
- Phone
- (734) 657-1470
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Pediatric Physical Therapist | 2251P0200X | |||
| Occupational Therapist | 225X00000X | |||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1400 Hatcher Cres
Ann Arbor, MI 48103-2426
Mailing address
1400 Hatcher Cres
Ann Arbor, MI 48103-2426
Phone (734) 657-1470
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225321763 | Other | TYPE 1 NPI | |
| 7101003147 | Other | MI | MI LARA SLP LICENSE |
| 5201010302 | Other | MI | MI LARA OT LICENSE |
| 1770068579 | Other | TYPE 1 NPI |
National Provider Directory
National Provider Directory- Part of
- Arbor Autism Centers LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Speech-Language Pathologist
- Ypsilanti, MI
- NPI 1578138277
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Ypsilanti, MI
- NPI 1225321763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626134400000",
"number": "1508438219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 HATCHER CRES",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481032426",
"telephone_number": "734-657-1470",
"fax_number": "734-527-5981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 HATCHER CRES",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481032426",
"telephone_number": "734-657-1470",
"fax_number": "734-527-5981"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARBOR AUTISM CENTERS ALLIED HEALTH LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ARBOR AUTISM CENTERS LLC",
"enumeration_date": "2021-07-13",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A",
"authorized_official_last_name": "MENARD",
"authorized_official_first_name": "PHILIP",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "734-657-1470"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 1 NPI",
"identifier": "1225321763",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI LARA SLP LICENSE",
"identifier": "7101003147",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI LARA OT LICENSE",
"identifier": "5201010302",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 1 NPI",
"identifier": "1770068579",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.