Scott Thorbjornsen, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101007193 Issued in MI

Practice address

1001 Laurence Ave Ste E
Jackson, MI 49202-2980

Phone

(517) 750-4777

NPI assigned

Sep 8, 2020

Last updated

Sep 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Speech and Therapy Center, Inc

  • Behavior Analyst
  • Jackson, MI
  • NPI 1447848049
  NPD
• Comprehensive Speech and Therapy Center, Inc

  • Rehabilitation Clinic/Center
  • Jackson, MI
  • NPI 1457473480
  NPD (past)

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1538773486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 GRANADA DR APT 3B",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492025358",
            "telephone_number": "269-436-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LAURENCE AVE STE E",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022980",
            "telephone_number": "517-750-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORBJORNSEN",
        "first_name": "SCOTT",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101007193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Thompson
• Leslie Ann Thompson, FNP
• Michael Kenneth Thompson, MA
• Zachary Ak Thompson I, OTR/L
• Harry S Thomson, DDS
• Jayme H Thornton
• Kathryn Thornton, D.M.D.
• Thrive Therapy, LLC
• Vishnampet Sveramaniam Thyagarajan, MD
• Karin Tibbs, NP

• Speech-Language Pathologist in Jackson, MI
• Providers in Jackson, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.