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

DOMINIQUE SULLA
NPI 1225513716
Speech-Language Pathologist in Dearborn, MI

Active since October 01, 2018
1360 PORTER ST, DEARBORN, MI 48124(313) 689-5188 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 7, 2022, Oct 1, 2018 (2 updates tracked since 2018).

About Dominique Sulla NPPES

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

DOMINIQUE SULLA (NPI 1225513716) is an individual speech-language pathologist provider in Dearborn, Michigan, licensed in Michigan (7152000240) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1225513716
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameDOMINIQUE SULLA
Location Address1360 PORTER STDearborn, MI 48124-2890
Mailing Address1360 Porter StDearborn, MI 48124-2890 · (313) 689-5188
Phone(313) 689-5188
Sole ProprietorNo
Enumeration DateOctober 1, 2018
Last NPPES UpdateJune 7, 20222 updates tracked since enumeration
NPPES CertifiedJune 7, 2022
✔ NPI 1225513716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MI · 7152000240
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.
Also ListedBehavior TechnicianTaxonomy 106S00000X
1360 PORTER ST, Dearborn, MI 48124
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique Sulla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Dominique Sulla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Behavioral Outcomes Management,llc
19 mi
Community/Behavioral Health
210 TOWN CENTER DR
Troy, MI 48084
  • Reassigned Medicare billing, Michigan enrollment
  • 51 clinicians in this Medicare group
NPI 1184139131 (248) 643-8900
Game Changer Pediatric Therapy Services LLC
97 mi
Pediatrics
3727 WILDER RD STE A&B
Bay City, MI 48706
  • Reassigned Medicare billing, Michigan enrollment
  • 4 clinicians in this Medicare group
NPI 1437506383 (989) 980-9747

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

GHADEER ANKOUNI
Behavior Technician
1360 PORTER ST
DEARBORN, MI 48124
Wayne County (313) 689-5188
ANGILA PATRICE MAYFIELD
Behavior Technician
1360 PORTER ST
DEARBORN, MI 48124
Wayne County (313) 689-5188
HIND OBAD AHMED
Behavior Technician
1360 PORTER ST
DEARBORN, MI 48124
Wayne County (313) 689-5188
MAYA MARIE JACOB
Behavior Technician
1360 PORTER ST
DEARBORN, MI 48124
Wayne County (313) 689-5188
GAIL ANN LEE
Behavior Technician
1360 PORTER ST
DEARBORN, MI 48124
Wayne County (734) 680-2351
DESTINY MANWELL
Behavior Technician
1360 PORTER ST
DEARBORN, MI 48124
Wayne County (313) 689-5188
ANDRE D MORGAN
Behavior Technician
1360 PORTER ST
DEARBORN, MI 48124
Wayne County (313) 689-5188
NOAH NICHOLAS BEAUDRIE
Behavior Technician
1360 PORTER ST
DEARBORN, MI 48124
Wayne County (313) 689-5188

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 Dominique Sulla's NPI number?

The NPI number for Dominique Sulla is 1225513716. It was assigned to this individual provider in the NPPES registry on October 1, 2018.

Where is Dominique Sulla located?

Dominique Sulla practices at 1360 Porter St, Dearborn, MI 48124. The listed phone number is (313) 689-5188.

What is Dominique Sulla's specialty?

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

Is Dominique Sulla enrolled in Medicare?

Yes. Dominique Sulla is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dominique Sulla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Sulla reassigns Medicare benefits to 2 organizations: Behavioral Outcomes Management,llc (Troy, MI) and Game Changer Pediatric Therapy Services LLC (Bay City, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dominique Sulla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dominique Sulla accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Dominique Sulla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dominique Sulla was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.