Neal Patrick Backus

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101008914 Issued in MI

Practice address

17150 Waterloo St
Grosse Pointe, MI 48230-1201

Phone

(313) 473-4730

NPI assigned

Oct 2, 2024

Sex

Male

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)

Enrolled

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.

• Star Behavior Consultants, LLC

  • Speech-Language Pathologist
  • Clinton Township, MI
  • NPI 1740698604
  NPD

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1669290284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17150 WATERLOO ST",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301201",
            "telephone_number": "313-473-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17150 WATERLOO ST",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301201",
            "telephone_number": "313-473-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKUS",
        "first_name": "NEAL",
        "middle_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101008914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Annette Arnold
• Danielle Arsenault, PT, DPT
• Assisted Care Transportation Inc
• Angela Babcock
• Babes Allure Medical Wigs, LLC
• Erin Baird
• Dustin Baker, M.D.
• David S Balle, M.D.
• Elizabeth Anne Bankstahl, M.D.
• Jill Banner-Frank, FNP-BC

• Speech-Language Pathologist in Grosse Pointe, MI
• Providers in Grosse Pointe, 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 Oct 2, 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.