Organization Active NPI

Sunny Speech PLLC

  • Speech-Language Pathologist
  • West Bloomfield, MI
National Provider Identifier
1952160772
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SUNNY SPEECH PLLC
Practice address
5600 W Maple Rd Ste B209
West Bloomfield, MI 48322-3707
Phone
(248) 270-7186
NPI assigned
Mar 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Brooke SagherianNPI 1376166058
Title
Owner
Phone
(248) 270-7186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

5600 W Maple Rd Ste B209
West Bloomfield, MI 48322-3707

Mailing address

6849 Post Oak Dr
West Bloomfield, MI 48322-3835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260312001804 MI Part B Supplier - Clinic/Group Practice 1456893247 Practice locations: West Bloomfield, MI

National Provider Directory

National Provider Directory

Locations

5640 W Maple Rd
Ste 203
West Bloomfield, MI 48322
Phone (248) 497-2205

5600 W Maple Rd
Ste B209
West Bloomfield, MI 48322
Phone (248) 270-7186

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1952160772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6849 POST OAK DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W MAPLE RD STE B209",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223707",
            "telephone_number": "248-270-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY SPEECH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "SAGHERIAN",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-270-7186"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.