Individual provider Active NPI

Jamie Gales

  • Speech-Language Pathologist
  • Ann Arbor, MI
National Provider Identifier
1629596150
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101005936 Issued in MI
Practice address
4121 Jackson Rd
Ann Arbor, MI 48103-1827
Phone
(734) 263-2493
NPI assigned
Sep 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Speech-Language Pathologist 235Z00000X 7101005936 MI Primary

Addresses

Primary practice location

4121 Jackson Rd
Ann Arbor, MI 48103-1827

Mailing address

3101 S Gulley Rd Ste F
Dearborn, MI 48124-4406
Phone (313) 410-9440

Other practice location 1

3101 S Gulley Rd Ste F
Dearborn, MI 48124
Phone (734) 407-2500

Other practice location 2

810 W South 4th St
Seneca, SC 29678-3324
Phone (864) 886-4455

Other practice location 3

810 W South 4th St
Seneca, SC 29678-3324
Phone (864) 886-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Futures Healthcore, LLC Speech-Language Pathologist PastSince Jun 20, 2015 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1629596150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 S GULLEY RD STE F",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244406",
            "telephone_number": "313-410-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 JACKSON RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031827",
            "telephone_number": "734-263-2493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 S Gulley Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "48124",
            "country_code": "US",
            "telephone_number": "734-407-2500",
            "fax_number": "313-792-8962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 W South 4th St",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296783324",
            "country_code": "US",
            "telephone_number": "864-886-4455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 W South 4th St",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296783324",
            "country_code": "US",
            "telephone_number": "864-886-4455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALES",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.