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Trisha Marie Vandyke , MA, CCC-SLP

Speech-Language Pathologist β€’ Grand Rapids, MI

Active NPI 1447982541 Individual Practitioner Female Practitioner
Practice location in NPPES

300 68th St Se
Grand Rapids, MI 495486927

Call 6164555000 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

300 68th St Se

Grand Rapids, MI 495486927

Telephone 6164555000
Organization at the Same NPPES Address or Phone
Emergency Physicians Inc Pc Facility NPI 1114920550

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 Kentwood, MI. 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

2022

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

Enrolled in Medicare (PECOS)

Trisha Vandyke has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

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

Self-certified to NPPES: 2026-05-06
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MI 7101007889

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

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20220803001878

Enrollment State Jurisdiction

MI

PECOS Control ID

4183006489

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

2450 44th St Se Ste 201

Kentwood, MI 495129081

Phone: 6165280870

Clinicians Sharing This Practice Address or Phone

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

12 listed
NPI 1124082698

Doctor of Osteopathic Medicine (D.O.)

Dr. Christopher Bouma , DNP, AGPCNP-BC, RN

Nurse Practitioner - Primary Care

NPI 1083122790

Doctor of Nursing Practice, AGPCNPBC, Registered Nurse

NPI 1053352807

Doctor of Philosophy (Ph.D.)

Melissa Devroy , LMSW

Social Worker - Clinical

NPI 1073913398

Licensed Master Social Worker

Dr. Talal Khan , MD

Psychiatry & Neurology - Psychiatry

NPI 1013151547

Doctor of Medicine (M.D.)

Dr. Robert Lafleur , DO

Psychiatry & Neurology - Psychiatry

NPI 1043260177

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location May 06, 2026

Registered at 300 68TH ST SE, GRAND RAPIDS, MI 495486927 (Tel: 6164555000)

πŸ“
Updated Business Mailing Address May 06, 2026

Registered at 300 68TH ST SE, GRAND RAPIDS, MI 495486927 (Tel: 6164555000)

πŸ“
Updated Practice Location April 04, 2025

Registered at 2450 44TH ST SE STE 201, KENTWOOD, MI 495129081 (Tel: 6165280870)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2025

Speech-Language Pathologist (license number reported to NPPES: MI 7101007889)

βœ…
NPI Profile Active June 28, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 28, 2022

Registered at 376 E APPLE AVE, MUSKEGON, MI 494423466 (Tel: 2317241111)

πŸ“
Business Mailing Address (Initial Record) June 28, 2022

Registered at 376 E APPLE AVE, MUSKEGON, MI 494423466 (Tel: 2317241111)

πŸ‘€
Provider Name / Credentials (Initial Record) June 28, 2022

Recorded as TRISHA VANDYKE, MA, CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2022

Speech-Language Pathologist

🟒
Initial NPI Registration & Enumeration June 28, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1447982541
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2022
Last Update: May 06, 2026
Sole Proprietor: No

Mailing Address

300 68th St Se

Grand Rapids, MI 495486927

Phone: 6164555000

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.