Individual provider Active NPI

Chad Spensley, MA CCC SLP

  • Speech-Language Pathologist
  • Flint, MI
National Provider Identifier
1952859076
Registry record updated Sep 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101004625 Issued in MI
Practice address
1235 W Court St
Flint, MI 48503-5015
Phone
(517) 525-6480
NPI assigned
Sep 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2016

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 7101004625 MI Primary

Addresses

Primary practice location

1235 W Court St
Flint, MI 48503-5015

Mailing address

1235 W Court St
Flint, MI 48503-5015
Phone (517) 525-6480

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7101004625MIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1474156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474156800000",
    "number": "1952859076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 W COURT ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035015",
            "telephone_number": "517-525-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 W COURT ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035015",
            "telephone_number": "517-525-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENSLEY",
        "first_name": "CHAD",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-18",
        "last_updated": "2016-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101004625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2016; 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.