1. Home
  2. Directory
  3. Michigan
  4. Ypsilanti
  5. Speech Language Pathologist
  6. NPI Profile

AUTISM COLLABORATIVE CENTER
NPI 1063950210
Speech-Language Pathologist in Ypsilanti, MI

Active since February 08, 2017CLIA 23D1097672 · Waiver
1055 CORNELL RD, YPSILANTI, MI 48197(734) 487-2890 Get Directions Write a Review

NPPES record last updated: February 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Autism Collaborative Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTISM COLLABORATIVE CENTER (NPI 1063950210) is a healthcare organization registered as a speech-language pathologist in Ypsilanti, Michigan and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Kristine Kastle-ruether, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1063950210
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameEASTERN MICHIGAN UNIVERSITY
Location Address1055 CORNELL RDYpsilanti, MI 48197-1657
Mailing Address1055 Cornell RdYpsilanti, MI 48197-1657 · (734) 487-2890
Phone(734) 487-2890
Organization SubpartNo
Authorized OfficialKristine Kastle-ruetherManaging Director · (734) 487-2890
Enumeration DateFebruary 8, 2017
✔ NPI 1063950210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MI · 7101000921
Definition
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.
1055 CORNELL RD, Ypsilanti, MI 48197
Open in Google Maps ↗

Other Names 1

Doing Business AsAutism Collaborative Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1097672

Eastern Michigan University School Of Health Sciences · Ypsilanti, MI
Active · expires Mar 31, 2027
CLIA Number23D1097672
Laboratory TypeMobile Laboratory
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorLynn Shetron Rama Ph D
Laboratory Phone(734) 487-4096
Laboratory LocationEastern Michigan University School Of Health Sciences104 Marshall Building Clinical Lab Science Program, Ypsilanti, MI 48197
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MORGAN KUSMITS
Behavior Analyst
1055 CORNELL RD
YPSILANTI, MI 48197
Washtenaw County (734) 487-2890
KELLY RUHLACH OTR/L
Occupational Therapist
1055 CORNELL RD
YPSILANTI, MI 48197
Washtenaw County (734) 487-2890
KATE LYNN POHLOD
Behavior Technician
1055 CORNELL RD
YPSILANTI, MI 48197
Washtenaw County (734) 487-2890
LYNN REBEKAH MAAS CCC-SLP
Speech-Language Pathologist
1055 CORNELL RD
YPSILANTI, MI 48197
Washtenaw County (734) 487-2890
LEAH STALEY
Speech-Language Pathologist
1055 CORNELL RD
YPSILANTI, MI 48197
Washtenaw County (734) 487-2890
TREY J SWENSON
Behavior Technician
1055 CORNELL RD
YPSILANTI, MI 48197
Washtenaw County (734) 487-2890
ALAYNA PLEWS
Behavior Technician
1055 CORNELL RD
YPSILANTI, MI 48197
Washtenaw County (734) 487-2890
MRS. ALYSSIA MCDONOUGH-UTLEY
Speech-Language Pathologist
1055 CORNELL RD
YPSILANTI, MI 48197
Washtenaw County (734) 487-2890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastern Michigan University's NPI number?

The NPI number for Eastern Michigan University is 1063950210. It was assigned to this organization in the NPPES registry on February 8, 2017. The provider is doing business as Autism Collaborative Center.

Where is Eastern Michigan University located?

Eastern Michigan University is located at 1055 Cornell Rd, Ypsilanti, MI 48197. The listed phone number is (734) 487-2890.

What is Eastern Michigan University's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Does Eastern Michigan University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1097672) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eastern Michigan University was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.