Individual provider Active NPI

Molly E Shapiro, CCC-SLP

  • Speech-Language Pathologist
  • Farmington Hills, MI
National Provider Identifier
1730475146
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP008032 Issued in GA
Practice address
36600 W 13 Mile Rd
Farmington Hills, MI 48331-2405
Phone
(248) 702-4505
NPI assigned
Jun 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 8757 MN
Speech-Language Pathologist 235Z00000X SLP008032 GA Primary

Addresses

Primary practice location

36600 W 13 Mile Rd
Farmington Hills, MI 48331-2405

Mailing address

36600 W 13 Mile Rd
Farmington Hills, MI 48331-2405

Other practice location 1

495 Winn Way
Suite 210
Decatur, GA 30030-1736
Phone (770) 209-9826

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8757MNMDPhysical Therapist
SLP008032GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Detroit Speech Therapy Speech-Language Pathologist PastSince May 16, 2022 Accepting new patients
Pediaspeech Services, Inc. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1730475146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36600 W 13 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483312405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36600 W 13 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483312405",
            "telephone_number": "248-702-4505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "495 Winn Way",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300301736",
            "country_code": "US",
            "telephone_number": "770-209-9826",
            "fax_number": "770-209-9876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "MOLLY",
        "middle_name": "E",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8757",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.