Michaela Ann Buckley, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101008345 Issued in MI

Practice address

220 S Main St Ste 120
Royal Oak, MI 48067-2678

Phone

(248) 270-2641

NPI assigned

Jan 24, 2023

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

Enrolled in MI

Enrollment records 1

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.

• Bloom Pediatric Rehabilitation

  • Rehabilitation Clinic/Center
  • Royal Oak, MI
  • NPI 1679373575
  Medicare reassignment NPD Authorized official
• Lighthouse Pediatric Therapy

  • Developmental - Behavioral Pediatrics Physician
  • Warren, MI
  • NPI 1083365639
  NPD (past)

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1679289680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S MAIN ST STE 120",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672678",
            "telephone_number": "248-270-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S MAIN ST STE 120",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672678",
            "telephone_number": "248-270-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "MICHAELA",
        "middle_name": "ANN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101008345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Brudvik, D.O.
• Emily Brunett, MD
• Jillian Rose Bucaro, OTD
• Christine M Buchanan, P.T.
• Megan Buchanan
• David Buether
• Miriam Bukhsh, MD
• Florian Bukovec
• Lindsey L Bupp, PHD
• Dana Woods Burandt, D.O.

• Speech-Language Pathologist in Royal Oak, MI
• Providers in Royal Oak, 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 Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.