EASTER SEALS MICHIGAN (NPI# 1073956736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073956736 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS MICHIGAN |
| Practice Address |
1105 N Telegraph Rd Waterford MI 48328-2759 |
| Mailing Address |
2387 E Walton Blvd Auburn Hills MI 48326-1955 |
| Practice Telephone | 2484753613 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2013-04-12 |
| Authorized Official Name | BRENT WIRTH (CEO/PRESIDENT) |
| Authorized Official Telephone | 2484756400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578901765 | Easter Seals Michigan | Case Management | 22170 W 9 Mile Rd, Southfield, MI 48033-6007 | 2013-06-10 |
| 1043562036 | Easter Seals Michigan | Registered Nurse | 22170 W 9 Mile Rd, Southfield, MI 48033-6007 | 2012-10-15 |
| 1134471733 | Easter Seals Michigan | Community/Behavioral Health | 22170 W 9 Mile Rd, Southfield, MI 48033-6007 | 2012-10-05 |
| 1164721890 | Easter Seals Michigan | Community/Behavioral Health | 2387 E Walton Blvd, Auburn Hills, MI 48326-1955 | 2011-03-21 |
| Street Address |
1105 N TELEGRAPH RD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-2759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851664627 | Kathleen Klingensmith | Speech-Language Pathologist | 1105 N Telegraph Rd, Waterford, MI 48328-2759 | 2012-02-09 |
| 1881131795 | Kacie Dimmitt | Case Manager/Care Coordinator | 1105 N Telegraph Rd, Waterford, MI 48328-2759 | 2017-01-30 |
| 1912452707 | Kate Czarnopys | Behavioral Analyst | 1105 N Telegraph Rd, Waterford, MI 48328-2759 | 2016-08-22 |
| 1982067146 | Jan St. Germain | Occupational Therapist | 1105 N Telegraph Rd, Waterford, MI 48328-2759 | 2016-04-04 |
| 1396120028 | Jamie Harris | Counselor | 1105 N Telegraph Rd, Waterford, MI 48328-2759 | 2015-07-23 |
| 1043655970 | Shazia Khan | Occupational Therapist | 1105 N Telegraph Rd, Waterford, MI 48328-2759 | 2013-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276950 | Kalie Menders | Speech-Language Pathologist | 79 Cross Rd, Waterford, CT 06385-1621 | 2020-08-18 |
| 1891316717 | Aliyah Howard | Speech-Language Pathologist | 6591 Saline Dr, Waterford, MI 48329-1251 | 2020-05-01 |
| 1467015925 | Sarah Jane Hoskins | Speech-Language Pathologist | 1373 Kessler Ave, Waterford, MI 48328-4753 | 2019-04-19 |
| 1619444676 | Katharine Margaret Laperriere | Speech-Language Pathologist | 978 Voorheis Rd Apt 2, Waterford, MI 48328-3890 | 2018-10-29 |
| 1376037085 | Renee Frances Kirby | Speech-Language Pathologist | 3010 Saint Jude Dr, Waterford, MI 48329-4356 | 2018-06-15 |
| 1952765471 | Alexandra Lynn Williams | Speech-Language Pathologist | 8 Lighthouse Dr, Waterford, NY 12188-1163 | 2016-04-11 |
| 1376946301 | Katelyn Dillon | Speech-Language Pathologist | 990 Hartford Tpke, Waterford, CT 06385-4035 | 2014-10-05 |
| 1851664627 | Kathleen Klingensmith | Speech-Language Pathologist | 1105 N Telegraph Rd, Waterford, MI 48328-2759 | 2012-02-09 |
| 1972808947 | Rebecca Jordan | Speech-Language Pathologist | 4050 Stone Quarry Rd, Waterford, PA 16441-4746 | 2011-01-21 |
| 1629207311 | Jill Denise Palazzo | Speech-Language Pathologist | 4385 Motorway Dr, Waterford, MI 48328-3451 | 2009-07-02 |
| Find all providers in WATERFORD | ||||
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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.