Individual provider Active NPI

Meredith Lynn Relken, MA CCC-SLP

  • Speech-Language Pathologist
  • Gilbert, AZ
National Provider Identifier
1043360878
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP1626 Issued in AZ
Practice address
230 North Cole Drive
Highland Park Elementary
Gilbert, AZ 85234-0000
Phone
(480) 832-3034
NPI assigned
Jan 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP1626 AZ Primary

Addresses

Primary practice location

230 North Cole Drive
Highland Park Elementary
Gilbert, AZ 85234-0000

Mailing address

230 North Cole Drive
Highland Park Elementary
Gilbert, AZ 85234-0000
Phone (480) 832-3034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141015000476 MI Practitioner - Qualified Speech Language Pathologist 1254552391 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP1626AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Max Well Therapy LLC Speech-Language Pathologist CurrentSince Oct 2, 2014 Accepting new patients
Max Well Therapy L.L.C. Speech-Language Pathologist CurrentSince Oct 2, 2014 Accepting new patients

Locations

1289 S Linden Rd
Ste A
Flint, MI 48532
Phone (810) 230-9750

1397 S Linden Rd
Ste B
Flint, MI 48532
Phone (810) 230-9750

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043360878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 NORTH COLE DRIVE",
            "address_2": "HIGHLAND PARK ELEMENTARY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852340000",
            "telephone_number": "480-832-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 NORTH COLE DRIVE",
            "address_2": "HIGHLAND PARK ELEMENTARY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852340000",
            "telephone_number": "480-832-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELKEN",
        "first_name": "MEREDITH",
        "middle_name": "LYNN",
        "credential": "MA  CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP1626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.