Active NPI
Molly E Shapiro, CCC-SLP
- Speech-Language Pathologist
- Farmington Hills, MI
National Provider Identifier
1730475146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP008032
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8757 | MN | MD | Physical Therapist |
| SLP008032 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Detroit Speech Therapy | Speech-Language Pathologist | Past | 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.
-
- Speech-Language Pathologist
- Farmington Hills, MI
- NPI 1134677123
-
- Speech-Language Pathologist
- Norcross, GA
- NPI 1508902446
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.