Stoney Creek Speech

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

STONEY CREEK SPEECH

Practice address

749 Caribou CT
Rochester, MI 48307-6005

Phone

(248) 219-5425

NPI assigned

May 26, 2021

Organization subpart

No

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

Authorized official

Name

Amy Noel Mitroff

Title

Speech-Language Pathologist

Phone

(248) 219-5425

Specialties & licenses 1

Addresses

Other names 1

• Stoney Creek Speech, PLLC Other name

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1891360251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 CARIBOU CT",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483076005",
            "telephone_number": "248-219-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 CARIBOU CT",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483076005",
            "telephone_number": "248-219-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEY CREEK SPEECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-07-02",
        "certification_date": "2021-06-27",
        "status": "A",
        "authorized_official_last_name": "MITROFF",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "248-219-5425"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stoney Creek Speech, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Marie Stavale, LLP
• Joseph J Steger Jr.
• Anne M Steinman, CRNA
• Jacob M Stepp, PHARMD
• Steven C Reynolds D.D.S, P.C.
• Sofia Stout
• Jeffrey Stuart, D.O.
• Gerald Stutz
• Joseph A Stutz, MD
• Merzia Subhan

• Speech-Language Pathologist in Rochester, MI
• Providers in Rochester, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.