Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255718854 Individual Practitioner Female Practitioner

Stacey Watson , MS

Speech-Language Pathologist • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Stacey Watson, MS is a registered healthcare professional specializing in Speech-Language Pathologist in Grand Rapids, MI. Practice services are available at 3292 N EVERGREEN DR NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3292 N Evergreen Dr Ne

Grand Rapids, MI 495259746

Telephone 6163658920
Fax 6163658971
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.6 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
281 Specialists

Practicing in Grand Rapids, MI (3778 Statewide)

Telehealth Adoption Rate
0.4% 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License 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

Definition to come...

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License 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.

Secondary Practice Locations

445 W Wellington Ave, 10f

Chicago, IL 606575856

Phone: 6168264456

445 W Wellington Ave, 10f

Chicago, IL 606575856

Phone: 6168264456

Practice Associates & Co-Workers

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

40 Associated Practitioners
Nancy Hamstreet , LMSW

Social Worker - School

NPI 1023381514

Licensed Master Social Worker

Renee Orr , LMSW

Social Worker

NPI 1043786023

Licensed Master Social Worker

Stephanie Brown

Social Worker - Clinical

NPI 1053077842
Sarah Devisser , LMSW

Social Worker - Clinical

NPI 1053681643

Licensed Master Social Worker

NPI 1053936161

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

Dr. Krestin Radonovich , PhD

Psychologist - Clinical

NPI 1063627396

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 27, 2018

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

📍
Updated Business Mailing Address June 27, 2018

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

NPI Profile Active July 16, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2016

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

📍
Updated Business Mailing Address July 16, 2016

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

👤
Provider Name / Credentials Updated July 16, 2016

Recorded as STACEY WATSON, M.S.

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

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.