Madeline Nicole Hayes Berkhout, SLP-A

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

41917 Issued in TX

Practice address

104 Swisher Rd
Lake Dallas, TX 75065-2322

Phone

(940) 497-4039

NPI assigned

Nov 17, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1841065083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SWISHER RD",
            "city": "LAKE DALLAS",
            "state": "TX",
            "postal_code": "750652322",
            "telephone_number": "940-497-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SWISHER RD",
            "city": "LAKE DALLAS",
            "state": "TX",
            "postal_code": "750652322",
            "telephone_number": "940-497-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES BERKHOUT",
        "first_name": "MADELINE",
        "middle_name": "NICOLE",
        "credential": "SLP-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "41917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia G. Gabrielle, M.D.
• Sloane Garrett
• Spencer Godard, DC
• Roberta Lima Guditis
• Reagan Harper
• Bridget Jaecks, MS, LPC, LCDC
• Cynthia Johnson Jones, LPC-S
• K2 Home Healthcare, Inc.
• Bonnie Kiefel, LCDC
• Jake Kim, DDS

• Speech-Language Assistant in Lake Dallas, TX
• Providers in Lake Dallas, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.