MARY ANN DERKACZ (NPI# 1609319573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609319573 |
| Entity Type | Individual |
| Full Name | MARY ANN DERKACZ |
| Practice Address |
31815 Southfield Rd Ste 15 Beverly Hills MI 48025-5471 |
| Mailing Address |
29846 Pleasant Trl Southfield MI 48076-5719 |
| Practice Telephone | 2488858240 |
| Mailing Telephone | 2488900270 |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
31815 SOUTHFIELD RD STE 15 |
| City | BEVERLY HILLS |
| State | MI |
| Zip Code | 48025-5471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971844 | Mary C Wiater | Speech-Language Pathologist | 31815 Southfield Rd Ste 15, Beverly Hills, MI 48025-5471 | 2020-10-28 |
| 1841890357 | Chloe Brown | Speech-Language Pathologist | 31815 Southfield Rd Ste 15, Beverly Hills, MI 48025-5471 | 2020-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 1013492644 | Shaniya Hyman | Technician/Technologist | 32100 Telegraph Rd Suit 205, Bingham Farms, MI 48025 | 2018-09-28 |
| 1043799042 | Assisted Home Health | Hospice Care, Community Based | 20150 Plantation Ln, Beverly Hills, MI 48025 | 2018-08-09 |
| 1235618224 | Robert Dean Harley | Technician/Technologist | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2018-08-09 |
| 1760973911 | Tailormed Medical Inc | Case Management | 30100 Telegraph Road, Suite 403, Bringham Farms, MI 48025 | 2018-05-23 |
| 1245745447 | Supportive Home Health Care LLC | Home Health | 30100 Telegraph Rd Ste 478, Bingham Farms, MI 48025 | 2017-12-11 |
| 1265954192 | Breeona Rue | Technician/Technologist | 32100 Telegraph Rd Suite 205, Bingham Farms, MI 48025 | 2017-07-12 |
| 1417478132 | Gina Maria Bignotti | Behavior Technician | 32100 Telegraph, Bingham Farms, MI 48025 | 2017-07-03 |
| 1295256238 | Chanel Matti | Behavior Technician | 32100 Telegraph Rd Suite 185, Bingham Farms, MI 48025 | 2017-06-29 |
| Find all providers in zip 48025 | ||||
| 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 |
|---|---|---|---|---|
| 1093373912 | Jill Daloria | Speech-Language Pathologist | 201 N Crescent Drive, Beverly Hills, CA 90210 | 2019-06-05 |
| 1376001875 | Talk This Way | Speech-Language Pathologist | 9454 Wilshire Blvd Ste 550, Beverly Hills, CA 90212-2905 | 2019-03-04 |
| 1053895995 | Julie Lynn Behrstock | Speech-Language Pathologist | 415 N Crescent Dr Ste 360, Beverly Hills, CA 90210-6815 | 2018-09-17 |
| 1053893321 | Sadaf Roodbaei | Speech-Language Pathologist | 9171 Wilshire Blvd Ste 500, Beverly Hills, CA 90210-5536 | 2018-09-04 |
| 1902319114 | Heather Kolwich | Speech-Language Pathologist | 21764 Corsaut Ln, Beverly Hills, MI 48025-2606 | 2017-11-09 |
| 1821536970 | Lisa Ann Findling | Speech-Language Pathologist | 31815 Southfield Rd Ste 11, Beverly Hills, MI 48025-5471 | 2017-02-09 |
| 1487196176 | Speech With Us | Speech-Language Pathologist | 121 N Le Doux Rd, Beverly Hills, CA 90211-2210 | 2016-11-10 |
| 1801251707 | Kelly Fairchild | Speech-Language Pathologist | 204 S Reeves Dr, Beverly Hills, CA 90212-4056 | 2015-12-18 |
| 1902275829 | Jennifer Hotta | Speech-Language Pathologist | 292 S La Cienega Blvd Ste 250, Beverly Hills, CA 90211-3357 | 2015-09-22 |
| 1922490770 | Teresa Cohenno | Speech-Language Pathologist | 292 S La Cienega Blvd # 250, Beverly Hills, CA 90211-3330 | 2015-03-02 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 48025 |
Please comment or provide details below to improve the information on MARY ANN DERKACZ.
| 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.