Mary C Wiater

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101007229 Issued in MI

Practice address

31815 Southfield Rd Ste 15
Beverly Hills, MI 48025-5471

Phone

(248) 885-8240

NPI assigned

Oct 28, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Small Talk Centers PLLC

  • Speech-Language Pathologist
  • Beverly Hills, MI
  • NPI 1356876288
  NPD

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1659971844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 PILGRIM AVE",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31815 SOUTHFIELD RD STE 15",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255471",
            "telephone_number": "248-885-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIATER",
        "first_name": "MARY",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101007229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E Weissman, MD
• Amy E Whitten, M.D.
• Brett Peter Wiater, MD
• J Michael Wiater, MD
• Jerome P Wiater, MD
• Patrick J Wiater, MD
• Stacey Wiesenthal, MS, RD
• Julia Ann Wilkins, PT
• Michael William-Mulligan Wille, PA-C
• William Beaumont Hospital

• All providers in Beverly Hills, MI
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.