Carla Deblecourt, MACCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101000464 Issued in MI

Practice address

2575 N Drake Rd
Kalamazoo, MI 49006-1358

Phone

(269) 342-0206

NPI assigned

May 5, 2014

Last updated

May 5, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1994

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Shelby Township, MI
  • NPI 1912226366

  Speech-Language Pathologist

  Medicare reassignment NPD
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1942610415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5639 PLEASANT MEADOW TRL",
            "city": "SCHOOLCRAFT",
            "state": "MI",
            "postal_code": "490878107",
            "telephone_number": "269-353-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 N DRAKE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490061358",
            "telephone_number": "269-342-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBLECOURT",
        "first_name": "CARLA",
        "credential": "MACCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101000464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Kay Dean, LLC
• Erin Dean
• Raquel Deanda-Ring, LMSW
• Ashley M Dearmond, PA-C
• Beverly Renae Deblecourt, NP
• Rebecca Debruyn, LLPC
• Weston Debuck
• Athena Decarlo
• Elizabeth Ann Decker-Hasan, L.L.P, L.P.C.
• Carolynn Beth Decker

• Speech-Language Pathologist in Kalamazoo, MI
• Providers in Kalamazoo, 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 May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.