Individual provider Active NPI

Alexandria Engles-Catallo, CCC-SLP

  • Speech-Language Pathologist
  • Clinton Township, MI
National Provider Identifier
1982313003
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22280191016 Issued in MI
Practice address
38824 Windmill Pointe S
Clinton Township, MI 48038-5114
Phone
(586) 879-9512
NPI assigned
Nov 17, 2022
Last updated
Nov 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 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 22280191016 MI Primary

Addresses

Primary practice location

38824 Windmill Pointe S
Clinton Township, MI 48038-5114

Mailing address

38824 Windmill Pointe S
Clinton Township, MI 48038-5114
Phone (586) 879-9512

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240806002261 MI Practitioner - Qualified Speech Language Pathologist 2668919861 Reassigns benefits to 2 organizations
Practice locations: Clinton Township, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22280191016MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Outcomes Management,LLC Speech-Language Pathologist CurrentSince May 15, 2025 Accepting new patients

Locations

210 Town Center Dr
Troy, MI 48084
Phone (248) 643-8900

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1982313003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38824 WINDMILL POINTE S",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385114",
            "telephone_number": "586-879-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38824 WINDMILL POINTE S",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385114",
            "telephone_number": "586-879-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLES-CATALLO",
        "first_name": "ALEXANDRIA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "22280191016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.