MRS. MICHELLE DOUGHERTY
NPI 1528303666
Speech-Language Pathologist in Marlton, NJ
About Mrs. Michelle Dougherty NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MICHELLE DOUGHERTY (NPI 1528303666) is an individual speech-language pathologist provider in Marlton, New Jersey, licensed in New Jersey (41YS00540700) and active in the NPI registry since November 2012. She is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Michelle Dougherty is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Michelle Dougherty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bylas, AZ 85530
- Reassigned Medicare billing, Texas enrollment
- 438 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Michelle Dougherty's NPI number?
The NPI number for Michelle Dougherty is 1528303666. It was assigned to this individual provider in the NPPES registry on November 30, 2012.
Where is Michelle Dougherty located?
Michelle Dougherty practices at 525 Route 73 North Suite 104, Marlton, NJ 08053. The listed phone number is (609) 575-2661.
What is Michelle Dougherty's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Michelle Dougherty enrolled in Medicare?
Yes. Michelle Dougherty is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Michelle Dougherty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Dougherty reassigns Medicare benefits to San Carlos Apache Healthcare Corporation (Bylas, AZ). The 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 Michelle Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Michelle Dougherty was last updated on September 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Michelle Dougherty · NPI 1528303666
Speech-Language Pathologist provider in Marlton, New Jersey. Individual provider, active in the CMS NPPES registry since November 30, 2012.
## Identity
- **NPI:** 1528303666 (Entity type: Individual)
- **Enumerated:** November 30, 2012
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 41YS00540700 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 525 ROUTE 73 NORTH, SUITE 104, Marlton, NJ 08053-3422
- **Phone:** (609) 575-2661
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** San Carlos Apache Healthcare Corporation (NPI 1417330713, Bylas, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** September 6, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1528303666) · Data from the CMS NPPES public registry.