Individual provider Active NPI

Rajesh Selvaraj

  • Speech-Language Pathologist
  • Westland, MI
National Provider Identifier
1720515877
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101003992 Issued in MI
Practice address
7700 N Merriman Road
103 Hawthorne Club Apt
Westland, MI 48185-2439
Phone
(248) 277-1893
NPI assigned
May 19, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101003992 MI Primary

Addresses

Primary practice location

7700 N Merriman Road
103 Hawthorne Club Apt
Westland, MI 48185-2439

Mailing address

7700 N Merriman Road
103 Hawthorne Club Apt
Westland, MI 48185-2439
Phone (248) 277-1893

Other practice location 1

7700 N Merriman road
103 Hawthorne Club Apt
Westland, MI 48185-4818
Phone (248) 277-1893

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

State licenses

LicenseStateTypeSpecialty
7101003992MIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720515877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 N MERRIMAN ROAD",
            "address_2": "103 HAWTHORNE CLUB APT",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852439",
            "telephone_number": "248-277-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 N MERRIMAN ROAD",
            "address_2": "103 HAWTHORNE CLUB APT",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852439",
            "telephone_number": "248-277-1893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 N Merriman road",
            "address_2": "103 Hawthorne Club Apt",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481854818",
            "country_code": "US",
            "telephone_number": "248-277-1893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELVARAJ",
        "first_name": "RAJESH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101003992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.