DEARBORN SPEECH AND SENSORY CENTER, INC (NPI# 1033510821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033510821 |
| Entity Type | Organization |
| Organization Name | DEARBORN SPEECH AND SENSORY CENTER, INC |
| Other Organization Name | DEARBORN SPEECH, SENSORY & ABA CENTER |
| Practice Address |
23936 Michigan Ave Dearborn MI 48124-1833 |
| Practice Telephone | 3132784601 |
| Practice Fax Number | 3133471652 |
| Mailing Telephone | 3137321461 |
| Mailing Fax Number | 3133471652 |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-11-25 |
| Authorized Official Name | LORI MARIE SHAFFER (SPEECH-LANGUAGE PATH/PRESIDENT) |
| Authorized Official Telephone | 3137321461 |
| Authorized Official Credential | M.A., CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
7101002229 | MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dearborn Speech, Sensory & ABA Center | Other Name - Individual/Organization |
| Street Address |
23936 MICHIGAN AVE |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669691648 | Dearborn Speech and Sensory Center, Inc. | Speech-Language Pathologist | 23936 Michigan Ave, Dearborn, MI 48124-1833 | 2007-04-25 |
| 1952851404 | Rachelle Bietler | Speech-Language Pathologist | 23936 Michigan Ave, Dearborn, MI 48124-1833 | 2016-10-08 |
| 1598219966 | Katelyn Marie Smith | Speech-Language Pathologist | 23936 Michigan Ave, Dearborn, MI 48124-1833 | 2016-08-15 |
| 1245680370 | Rose Cairo | Speech-Language Pathologist | 23936 Michigan Ave, Dearborn, MI 48124-1833 | 2016-06-20 |
| 1851777676 | Michelle Calilung | Speech-Language Pathologist | 23936 Michigan Ave, Dearborn, MI 48124-1833 | 2015-08-04 |
| 1861885477 | Kimberly Wagner | Specialist | 23936 Michigan Ave, Dearborn, MI 48124-1833 | 2015-03-07 |
| 1932500501 | Lori Shaffer | Speech-Language Pathologist | 23936 Michigan Ave, Dearborn, MI 48124-1833 | 2014-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144830217 | Milestones Aba Therapy | Clinic/Center | 7301 Schaefer Rd, Dearborn, MI 48126-4915 | 2020-08-04 |
| 1154776201 | Center for Exceptional Families | Clinic/Center | 18501 Rotunda Dr Ste 200, Dearborn, MI 48124-3891 | 2016-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306334115 | Endeavor Behavioral Health, LLC | Clinic/Center | 225 Michigan St. Nw #3520, Grand Rapids, MI 49501-3520 | 2018-04-26 |
| 1578823175 | Bertram Haus | Clinic/Center | 1330 Kenneth St, Burton, MI 48529-2206 | 2012-05-17 |
| 1659536167 | O.t. Inc | Clinic/Center | 2180 Western Meadows Dr, Flushing, MI 48433-9447 | 2008-07-23 |
| 1013087345 | Latino Family Services | Clinic/Center | 3815 W Fort St, Detroit, MI 48216-1652 | 2006-11-08 |
| 1992286306 | Lifelab Kids Foundation | Clinic/Center | 3178 Hilton Rd, Ferndale, MI 48220-1059 | 2018-08-23 |
| 1407361538 | Residential Opportunities, Inc. | Clinic/Center | 416 Washington St, Three Rivers, MI 49093-1130 | 2017-12-12 |
| 1730694886 | Residential Opportunities, Inc. | Clinic/Center | 1800 S 35th St, Galesburg, MI 49053-9688 | 2017-12-12 |
| 1538674676 | Residential Opportunities, Inc. | Clinic/Center | 9616 Portage Rd, Portage, MI 49002-7257 | 2017-12-12 |
| 1497168215 | Blue Light Inc. | Clinic/Center | 26105 Orchard Lake Rd, Suite #208, Farmington Hills, MI 48334-4576 | 2014-06-09 |
| 1013348051 | Hfhs Center for Autism and Developmental Disabilities | Clinic/Center | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2013-12-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.