Kellie Bouren
Speech-Language Pathologist β’ Southfield, MI
30503 Greenfield Rd
Southfield, MI 480761594
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
30503 Greenfield Rd
Southfield, MI 480761594
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 4 distinct additional practice-address records in Grosse Pointe, MI; Macomb, MI; Royal Oak, MI and 1 more. 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.
What Public CMS Data Show
Speech-Language Pathologist: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2018
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, βDoes your provider accept Medicare as full payment?β
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.
Compared with the same specialty in Southfield and Michigan
36 active clinicians are listed under Speech-Language Pathologist with a practice address in Southfield, MI (3,736 in Michigan).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Southfield
2.8% of these 36 clinicians have the CMS telehealth indicator.
11.1% of these 36 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: 2024-12-30NUCC Taxonomy Code: 235Z00000X
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.
Secondary Practice Locations
17150 Waterloo St
Grosse Pointe, MI 482301201
Phone: 3134734730
15959 Hall Rd
Macomb, MI 480445363
Phone: 5864166290
4949 Coolidge Hwy
Royal Oak, MI 480731026
Phone: 2486555975
6900 Orchard Lake Rd
West Bloomfield, MI 483223405
Phone: 2488554480
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Psychiatry & Neurology - Psychiatry
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 30503 GREENFIELD RD, SOUTHFIELD, MI 480761594 (Tel: 2486914732)
NPI status registered as active in NPPES database
Registered at 4949 COOLIDGE HWY, ROYAL OAK, MI 480731026 (Tel: 2486555975)
Registered at 4949 COOLIDGE HWY, ROYAL OAK, MI 480731026 (Tel: 2486555975)
Recorded as KELLIE BOUREN
Speech-Language Pathologist (license number reported to NPPES: MI 7101000845)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
4949 Coolidge Hwy
Royal Oak, MI 480731026
Phone: 2486555975