Organization Active NPI

Arbor Autism Centers Allied Health LLC

  • Speech-Language Pathologist
  • Ann Arbor, MI
National Provider Identifier
1508438219
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Philip MenardNPI 1225321763
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1225321763OtherTYPE 1 NPI
7101003147OtherMIMI LARA SLP LICENSE
5201010302OtherMIMI LARA OT LICENSE
1770068579OtherTYPE 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.