Austin Daniel Erdman, MA, SLP
Individual provider Active NPI Speech-Language Pathologist · Belding, MI
NPI 1669133294 · NPPES record last updated Jan 5, 2022
Key facts
- NPI
- 1669133294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 414 E State St
Belding, MI 48809-2200 - Phone
- (616) 794-0460
- NPI assigned
- Jan 5, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tmi East Inc
Practice addresses (Care Compare)
1725 Port Sheldon St
Jenison, MI 49428-9002
Phone (810) 701-4633
851 Penniman Ave
Plymouth, MI 48170-1621
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241022002539 | MI | Practitioner - Qualified Speech Language Pathologist | 1355873803 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tmi East, Inc. | Current |
Accepting new patients |
Locations
1725 Port Sheldon St
Jenison, MI 49428
Phone (616) 667-1725
851 Penniman Ave
Plymouth, MI 48170
Phone (248) 349-9595
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
414 E State St
Belding, MI 48809-2200
Mailing address
1944 Buttrick Ave SE
Ada, MI 49301-9204
Phone (616) 745-7346
Other providers in Belding, MI
- Kyasia Dominique Comelleri
- Matthew D Cooper
- Maya N Deciechi
- Jessica Dobb
- Daniel J. Ellison
- Flat River Doulas, LLC
- Carla Andreea Girdwood
- Chelsea Ann Goodman
- Robert Allan Gosnell
- Great Lakes Bay Health Centers
All providers in Belding, MI · Speech-Language Pathologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.