Marissa Carly Meltzer, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

25549 Issued in CA

Practice address

645 Tamalpais Dr Ste B
Corte Madera, CA 94925-1613

Phone

(415) 924-2444

NPI assigned

Mar 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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

• Speech Therapy Marin

  • Speech-Language Pathologist
  • Mill Valley, CA
  • NPI 1205338332
  NPD (past)

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083116412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 TAMALPAIS DR STE B",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251613",
            "telephone_number": "415-924-2444",
            "fax_number": "415-924-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 TAMALPAIS DR STE B",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251613",
            "telephone_number": "415-924-2444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Van Ness Ave Ste 702",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941093015",
            "country_code": "US",
            "telephone_number": "415-563-6541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELTZER",
        "first_name": "MARISSA",
        "middle_name": "CARLY",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "25549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94-3314238",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leticia Elise McCoy
• Kelsey McKee
• Lynn McLeod, LYNN MCLEOD, MFT
• David John Mehr, CAS
• Rita Melkonian, MD
• Brett Mensh, M.D., PH.D.
• Mill Valley Performance Consulting Group, Inc.
• Susan G Millstein, PH.D.
• Mindfit Family Therapy
• Heidi Klein Minnick, PH.D.

• Speech-Language Pathologist in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.