ROCKFORD SPEECH THERAPY (NPI# 1831727585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831727585 |
| Entity Type | Organization |
| Organization Name | ROCKFORD SPEECH THERAPY |
| Practice Address |
4829 E Beltline Ave Ne Grand Rapids MI 49525-9747 |
| Mailing Address |
345 1/2 Sigsbee St Rockford MI 49341-1029 |
| Practice Telephone | 6169511077 |
| Mailing Telephone | 6028811753 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |
| Authorized Official Name | MARISSA DOLETZKY (SPEECH THERAPIST/OWNER) |
| Authorized Official Telephone | 6169511077 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
4829 E BELTLINE AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-9747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457333098 | Kristie Sue Buchholz | Nurse Practitioner | 4829 E Beltline Ave Ne, Grand Rapids, MI 49525-9747 | 2005-11-18 |
| 1639783137 | Bruce A. Jackson II, Dds, Plc | Clinic/Center | 4829 E Beltline Ave Ne, Grand Rapids, MI 49525-9747 | 2020-09-02 |
| 1033730213 | Rhett Baylor Jackson | Dentist | 4829 E Beltline Ave Ne, Grand Rapids, MI 49525-9747 | 2020-04-29 |
| 1205396538 | Susan Missad Counseling | Psychologist | 4829 E Beltline Ave Ne, Grand Rapids, MI 49525-9747 | 2019-03-22 |
| 1861971145 | Maria Herrala | Social Worker | 4829 E Beltline Ave Ne, Grand Rapids, MI 49525-9747 | 2018-08-08 |
| 1649729286 | Lynnae Dawn Guffie | Social Worker | 4829 E Beltline Ave Ne, Grand Rapids, MI 49525-9747 | 2016-09-23 |
| 1194182469 | Jonathan Mulder | Counselor | 4829 E Beltline Ave Ne, Suite 103, Grand Rapids, MI 49525-9747 | 2016-01-18 |
| 1184019077 | Cognitive Therapy of Grand Rapids | Psychologist | 4829 E Beltline Ave Ne, Bldg 1 Suite 100, Grand Rapids, MI 49525-9747 | 2015-03-30 |
| 1871912709 | Angela Schmidt | Psychologist | 4829 E Beltline Ave Ne, Building 1, Suite 100, Grand Rapids, MI 49525-9747 | 2014-04-08 |
| 1700207727 | Keystone Chiropractic Plc | Chiropractor | 4829 E Beltline Ave Ne, Suite 304, Grand Rapids, MI 49525-9747 | 2013-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| 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 |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1912517244 | Kailey Nicole Jo | Speech-Language Pathologist | 710 Kenmoor Ave Se Ste 110, Grand Rapids, MI 49546-2379 | 2020-08-02 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1033740543 | Lauramarie Andres Schubert | Speech-Language Pathologist | 35 Michign St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2020-02-03 |
| 1245873884 | Jonathan Tyler Ritchie | Speech-Language Pathologist | 1912 Concord Ave Se, Grand Rapids, MI 49506-4653 | 2019-10-27 |
| 1386295392 | Emily Ruth Otten | Speech-Language Pathologist | 1425 Bemis St Se, Grand Rapids, MI 49506-2752 | 2019-09-23 |
| 1336797786 | Sydney E Carlson | Speech-Language Pathologist | 421 Benson Ave Ne Apt 2109, Grand Rapids, MI 49503-0026 | 2019-08-29 |
| 1285289413 | Chelsea Lauryn Noorman | Speech-Language Pathologist | 155 Indiana Ave Nw, Grand Rapids, MI 49504-5664 | 2019-08-05 |
| 1811556343 | Nicole L Nicolas | Speech-Language Pathologist | 2019 Wealthy St Se Apt 2, Grand Rapids, MI 49506-3011 | 2019-06-09 |
| 1922560911 | Amy Morgan Linde | Speech-Language Pathologist | 270 Henry Ave Se, Grand Rapids, MI 49503-4711 | 2019-04-01 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on ROCKFORD SPEECH THERAPY.
| 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.