Active NPI
Sophia I Carrillo
- Speech-Language Pathologist
- Livonia, MI
National Provider Identifier
1841106853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7152001434
- Practice address
- 17940 Farmington Rd Ste 225
Livonia, MI 48152-3195 - Phone
- (248) 599-2410
- NPI assigned
- Aug 20, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7152001434 | MI | Primary |
Addresses
Primary practice location
17940 Farmington Rd Ste 225
Livonia, MI 48152-3195
Mailing address
2608 Aubrey Dr
Lake Orion, MI 48360-1997
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1841106853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2608 AUBREY DR",
"city": "LAKE ORION",
"state": "MI",
"postal_code": "483601997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17940 FARMINGTON RD STE 225",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481523195",
"telephone_number": "248-599-2410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRILLO",
"first_name": "SOPHIA",
"middle_name": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-20",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7152001434",
"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 Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.