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Stacey Watson , MS

Speech-Language Pathologist β€’ Grand Rapids, MI

Active NPI 1255718854 Individual Practitioner Female Practitioner
Practice location in NPPES

3292 N Evergreen Dr Ne
Grand Rapids, MI 495259746

Call 6163658920 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3292 N Evergreen Dr Ne

Grand Rapids, MI 495259746

Telephone 6163658920
Fax 6163658971
Organization at the Same NPPES Address or Phone
Behavioral Resources And Institute For Neuropsychological Services Facility NPI 1023169182

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Chicago, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Grand Rapids and Michigan

278 active clinicians are listed under Speech-Language Pathologist with a practice address in Grand Rapids, MI (3,736 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Grand Rapids

0.4% of these 278 clinicians have the CMS telehealth indicator.

2.5% of these 278 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MI 7101005811

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.

Specialist/Technologist - Speech-Language Assistant

NUCC Taxonomy Code: 2355S0801X

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES IL 146.013153

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Secondary Practice Locations

445 W Wellington Ave, 10f

Chicago, IL 606575856

Phone: 6168264456

445 W Wellington Ave, 10f

Chicago, IL 606575856

Phone: 6168264456

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1053936161

Doctor of Medicine (M.D.), Board Certified Behavior Analyst, Licensed Behavior Analyst

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location June 27, 2018

Registered at 3292 N EVERGREEN DR NE, GRAND RAPIDS, MI 495259746 (Tel: 6163658920)

πŸ“
Updated Business Mailing Address June 27, 2018

Registered at 3292 N EVERGREEN DR NE, GRAND RAPIDS, MI 495259746 (Tel: 6163658920)

βœ…
NPI Profile Active July 16, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 16, 2016

Registered at 445 W WELLINGTON AVE, 10F, CHICAGO, IL 606575856 (Tel: 6168264456)

πŸ“
Business Mailing Address (Initial Record) July 16, 2016

Registered at 445 W WELLINGTON AVE, 10F, CHICAGO, IL 606575856 (Tel: 6168264456)

πŸ‘€
Provider Name / Credentials (Initial Record) July 16, 2016

Recorded as STACEY WATSON, M.S.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2016

Specialist/Technologist

🟒
Initial NPI Registration & Enumeration May 04, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1255718854
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2015
Last Update: June 27, 2018
Sole Proprietor: No

Mailing Address

3292 N Evergreen Dr Ne

Grand Rapids, MI 495259746

Phone: 6163658920

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.