Melanie Greenbaum, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Kalispell, MT
NPI 1063965572 · NPPES record last updated Jan 31, 2022
Key facts
- NPI
- 1063965572
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 8883 (MT)
- Practice address
- 55 Heritage Way
Kalispell, MT 59901-3100 - Phone
- (406) 471-9910
- Fax
- (406) 309-2076
- NPI assigned
- Aug 1, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8883 | MT | MD | Speech-Language Pathologist |
| 15726 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Beginnings Pediatric Therapy, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
500 12th Ave W
Ste 2A
Columbia Falls, MT 59912
Phone (406) 471-1117
1035 US Highway 2 W
Kalispell, MT 59901
Phone (406) 471-9910
55 Heritage Way
Kalispell, MT 59901
Phone (406) 471-1117
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 15726 | OR | |
| Speech-Language Pathologist | 235Z00000X | 8883 | MT | Yes |
Addresses
Primary practice location
55 Heritage Way
Kalispell, MT 59901-3100
Mailing address
500 12TH Ave W Ste 2a
Columbia Falls, MT 59912-3855
Phone (406) 471-9910
Other practice location 1
500 12th Ave W Ste 2A
Columbia Falls, MT 59912-3818
Phone (406) 471-1117
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 697710 | Medicaid | MT |
Other names
- Melanie Triscuit
Other providers in Kalispell, MT
- Walter G Graves
- B. Frank Gray III
- Great Bear Health
- Cheryl R Green
- Justin Z Green
- Samantha Noel Greenberg
- Peter H Greenman
- Daniel L. Gregerson
- Gregory Stoick Drug Inc
- Kelly Marie Gregory
All providers in Kalispell, MT · Speech-Language Pathologist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.