Organization Active NPI

Journey Pediatrics Therapy Services, LLC

  • Hearing and Speech Clinic/Center
  • Livonia, MI
National Provider Identifier
1720616832
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
JOURNEY PEDIATRICS THERAPY SERVICES, LLC
Practice address
16158 Edgewood Dr
Livonia, MI 48154-2228
Phone
(734) 508-3525
NPI assigned
Apr 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Kathleen Mariann Barbara Salata, MA CCC-SLP
Title
Owner
Phone
(734) 508-3525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

16158 Edgewood Dr
Livonia, MI 48154-2228

Mailing address

16158 Edgewood Dr
Livonia, MI 48154-2228
Phone (734) 508-3525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200917002076 MI Part B Supplier - Clinic/Group Practice 5496173726 Receives reassigned benefits from 1 practitioner
Practice locations: Livonia, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1720616832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16158 EDGEWOOD DR",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542228",
            "telephone_number": "734-508-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16158 EDGEWOOD DR",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542228",
            "telephone_number": "734-508-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY PEDIATRICS THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "SALATA",
        "authorized_official_first_name": "KATHLEEN MARIANN",
        "authorized_official_middle_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-508-3525",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.