NPIMap

Organization Active NPI

Dearborn Speech and Sensory Center

  • Early Intervention Provider Agency
  • South Lyon, MI
National Provider Identifier
1760874499
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
7101002126 Issued in MI
Legal business name
DEARBORN SPEECH AND SENSORY CENTER
Practice address
22821 Spy Glass Hill Dr
South Lyon, MI 48178-9436
Phone
(313) 910-9415
NPI assigned
Mar 4, 2015
Last updated
Mar 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Kristen Noel Morrone, MA, CCC-SLPNPI 1396138723
Title
Speech-Language Pathologist
Phone
(313) 910-9415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 7101002126 MI Primary

Addresses

Primary practice location

22821 Spy Glass Hill Dr
South Lyon, MI 48178-9436

Mailing address

22821 Spy Glass Hill Dr
South Lyon, MI 48178-9436

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1760874499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22821 SPY GLASS HILL DR",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22821 SPY GLASS HILL DR",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789436",
            "telephone_number": "313-910-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN SPEECH AND SENSORY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "MORRONE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "313-910-9415",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "MI",
            "license": "7101002126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lyon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.