Katherine Michelle Damich, MA, CFY/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101004774 Issued in MI

Practice address

151 2ND St
Spring Arbor, MI 49283-9647

Phone

(517) 750-1900

NPI assigned

Apr 25, 2016

Last updated

Apr 25, 2016By the provider in NPPES

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

Other names 1

• Ms. Katherine Michelle Bailey Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

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.

• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Shelby Township, MI
  • NPI 1912226366

  Speech-Language Pathologist

  Medicare reassignment NPD
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1619322997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W FRANKLIN ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492031515",
            "telephone_number": "517-294-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 2ND ST",
            "city": "SPRING ARBOR",
            "state": "MI",
            "postal_code": "492839647",
            "telephone_number": "517-750-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMICH",
        "first_name": "KATHERINE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MA, CFY/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101004774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "BAILEY",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "credential": "MA, CFY/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Leon Cole, DDS
• Common Sense Counseling
• Cornerstone Caregiving East LLC
• Seneca R Cotterman, O.T.
• Nancy Dakin
• Aparna Arvind Dandekar, PHYSICAL THERAPIST
• Shannon Bielski Derscheid, DC
• Taylor Dillon-Chase
• Marlouis V Edwards
• Cynthia Kreiter Elliott, OTR

• Speech-Language Pathologist in Spring Arbor, MI
• Providers in Spring Arbor, 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 Apr 25, 2016; 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.