Wildflower Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

WILDFLOWER THERAPY

Practice address

3323 Gernada Dr
Clio, MI 48420-1912

Phone

(989) 751-5995

NPI assigned

Mar 11, 2025

Last updated

Jun 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Micaela Marie McCallum, CCC-SLPNPI 1407467525

Title

Speech Language Pathologist

Phone

(989) 751-5995

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• Micaela McCallum

  • Speech-Language Pathologist
  • Bay City, MI
  • NPI 1407467525
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1922807171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 GERNADA DR",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201912",
            "telephone_number": "989-751-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3323 GERNADA DR",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201912",
            "telephone_number": "989-751-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "MCCALLUM",
        "authorized_official_first_name": "MICAELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "989-751-5995",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP (Vision Center 30-4243)
• Hannah Louise Wansitler, PA-C
• Katherine Warner, PA-C
• Anndrea Danae Weber
• Kelly Cay Welch
• Mark J Williamson, D.D.S.
• Chad Mark Witkow, D.D.S.
• David Lee Wood, RPH
• William Woods
• Andrea Lynn Worthing

• Speech-Language Pathologist in Clio, MI
• Providers in Clio, 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 Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.