Southeast Michigan Speech Therapy, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

SOUTHEAST MICHIGAN SPEECH THERAPY, LLC

Practice address

16016 Dunblaine Ave
Beverly Hills, MI 48025-4167

Phone

(219) 309-6901

NPI assigned

Apr 26, 2021

Organization subpart

No

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

Authorized official

Name

Samantha Robbins, MS, CCC-SLP, CBISNPI 1396149498

Title

Speech-Language Pathologist; Owner

Phone

(219) 309-6901

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• Samantha Robbins, MS, CCC-SLP

  • Speech-Language Pathologist
  • Beverly Hills, MI
  • NPI 1396149498

  MI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1508448762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16016 DUNBLAINE AVE",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480254167",
            "telephone_number": "219-309-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16016 DUNBLAINE AVE",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480254167",
            "telephone_number": "219-309-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MICHIGAN SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST; OWNER",
        "authorized_official_telephone_number": "219-309-6901",
        "authorized_official_credential": "MS, CCC-SLP, CBIS"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Elizabeth Skurnowicz, CRNA
• Patricia Marie Sloan
• Small Talk Centers PLLC
• Alyssa-Michelle Goddess Smith
• Gregory Victor Sobol, MD
• SSC Beverly Hills Operating Company LLC
• Robert A Starr, M.D.
• Susan a Catto, MD, PC
• Elaine Marilynn Swenson, M.A.,LLP
• Marcy Adams Sznewajs, LPC

• All providers in Beverly Hills, MI
• Hearing and Speech Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.