Michiana Speech Therapy LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

MICHIANA SPEECH THERAPY LLC

Practice address

948 Homewood Ave
Mishawaka, IN 46544-2542

Phone

(574) 339-1337

NPI assigned

Jul 26, 2022

Last updated

Jul 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maggie CressyNPI 1457875320

Title

Owner/Speech Language Pathologist

Phone

(574) 339-1337

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maggie Cressy, MA

  • Speech-Language Pathologist
  • Dayton, OH
  • NPI 1457875320
  NPD Authorized official

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1619603420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 HOMEWOOD AVE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 HOMEWOOD AVE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442542",
            "telephone_number": "574-339-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIANA SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "CRESSY",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "574-339-1337"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rachel Lynn Mickelson, PSYD
• Russell B Midkiff, MD

• Hearing and Speech Clinic/Center in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Hearing and Speech Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.