NPIMap

Organization Active NPI

Creating Brighter Futures

  • Speech-Language Pathologist
  • Ann Arbor, MI
National Provider Identifier
1891411542
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CREATING BRIGHTER FUTURES
Practice address
4201 Varsity Dr
Ann Arbor, MI 48108-5005
Phone
(734) 926-0740
Fax
(734) 369-8851
NPI assigned
Oct 14, 2022
Last updated
Oct 14, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CREATING BRIGHTER FUTURESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Marilyn M Kubek
Title
Human Resources Coordinator
Phone
(734) 926-0740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

4201 Varsity Dr
Ann Arbor, MI 48108-5005

Mailing address

4201 Varsity Dr
Ann Arbor, MI 48108-5005
Phone (734) 926-0740

National Provider Directory

National Provider Directory
Tax ID family
Creating Brighter Futures2 organizations share this tax ID, including this one
Part of
Creating Brighter Futures

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4201 Varsity Dr
Ann Arbor, MI 48108
Phone (734) 926-0740

Practitioners & affiliated clinicians

Practitioners 99

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.

View all 99

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1891411542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 VARSITY DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481085005",
            "telephone_number": "734-926-0740",
            "fax_number": "734-369-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 VARSITY DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481085005",
            "telephone_number": "734-926-0740",
            "fax_number": "734-369-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING BRIGHTER FUTURES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CREATING BRIGHTER FUTURES",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "KUBEK",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "HUMAN RESOURCES COORDINATOR",
        "authorized_official_telephone_number": "734-926-0740"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.

Verify at the official NPI Registry.