Individual provider Active NPI

Denise Marlene Rosenberg, CCC SLP

  • Speech-Language Pathologist
  • Southfield, MI
National Provider Identifier
1932827854
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101000503 Issued in MI
Practice address
25060 Pierce St
Southfield, MI 48075
Phone
(248) 850-0505
Fax
(313) 447-2700
NPI assigned
Aug 16, 2022
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101000503 MI Primary

Addresses

Primary practice location

25060 Pierce St
Southfield, MI 48075

Mailing address

25060 Pierce St
Southfield, MI 48075-2018
Phone (248) 850-0505

Other practice location 1

25060 Pierce Street
Southfield, MI 48075
Phone (248) 850-0505

Other names 1

  • Denise Marlene Hyman Former name

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

State licenses

LicenseStateTypeSpecialty
7101000503MIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1932827854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25060 PIERCE ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752018",
            "telephone_number": "248-850-0505",
            "fax_number": "313-447-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25060 PIERCE ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-850-0505",
            "fax_number": "313-447-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25060 Pierce Street",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "48075",
            "country_code": "US",
            "telephone_number": "248-850-0505",
            "fax_number": "313-447-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "DENISE",
        "middle_name": "MARLENE",
        "credential": "CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101000503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "HYMAN",
            "middle_name": "MARLENE",
            "credential": "CCC SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.