Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164512455 Individual Practitioner Female Practitioner

Michele Catherine Black , MACCC-SLP

Speech-Language Pathologist • Winter Park, FL

Professional Overview & Biography Verified Profile Summary

Michele Black, MACCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Winter Park, FL. Practice services are available at 1757 INDIANA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1757 Indiana Ave

Winter Park, FL 327895446

Telephone 4074617787
Fax 4079881514
Associated Practice Facility / Clinic
🏢 Funshine Therapy Llc Facility NPI 1649986647

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Winter Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
88 Specialists

Practicing in Winter Park, FL (11640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-16
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA8723

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.

Developmental Therapist

NUCC Taxonomy Code: 222Q00000X

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
890920200 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Lisa Newton , MHS, OTRL

Occupational Therapist - Pediatrics

NPI 1134267297

MHS, Occupational Therapist Registered & Licensed

Chelsea Hamner , ITDS

Developmental Therapist

NPI 1902347412

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2025

Developmental Therapist

📍
Updated Practice Location May 31, 2024

Registered at 1757 INDIANA AVE, WINTER PARK, FL 327895446 (Tel: 4074617787)

📍
Updated Business Mailing Address May 31, 2024

Registered at 1757 INDIANA AVE, WINTER PARK, FL 327895446 (Tel: 4074617787)

📍
Updated Practice Location February 08, 2021

Registered at 2400 S HIGHWAY 27 STE B201, CLERMONT, FL 347116816 (Tel: 3523940212)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 405 S SEMINOLE AVE, MINNEOLA, FL 347155520 (Tel: 3523940212)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6598 TEBBETTS DR, ORLANDO, FL 328185316 (Tel: 4074617787)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHELE BLACK, M.A.CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #SA8723 in FL)

🟢
Initial NPI Registration & Enumeration October 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164512455
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2006
Last Update: February 16, 2025
Sole Proprietor: Yes

Mailing Address

1757 Indiana Ave

Winter Park, FL 327895446

Phone: 4074617787

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.