Kathryn Justine Grembo, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101005496 Issued in MI

Practice address

7200 Challis Rd
Brighton, MI 48116-7411

Phone

(810) 227-0119

NPI assigned

Dec 15, 2020

Sex

Female

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

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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

• Resilire Neurorehabilitation

  • Rehabilitation Clinic/Center
  • Troy, MI
  • NPI 1386254340
  Medicare reassignment
• Special Tree Rehabilitation Services LTD

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Romulus, MI
  • NPI 1295773281
  NPD (past)

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1548856446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32230 RED CLOVER RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343553",
            "telephone_number": "810-923-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 CHALLIS RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481167411",
            "telephone_number": "810-227-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREMBO",
        "first_name": "KATHRYN",
        "middle_name": "JUSTINE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Ann Arbor Neurology Associates P.C.
• Katelyn Rose Green
• Myisha Johnne Green
• Jayson Scott Greenberg, M.D.
• Jacob Greer
• Jennifer Gretzema
• Rachel Mary Grier, LLMFT
• Stacie Michelle Griffin, M.D.
• Cameron Michael Griffith, P.T.
• Kevin Scott Grimm, DDS

• Speech-Language Pathologist in Brighton, MI
• Providers in Brighton, 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 Dec 15, 2020; 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.