Individual provider Active NPI

Patricia Masello, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Battle Creek, MI
National Provider Identifier
1114632049
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101007341 Issued in MI
Practice address
91 Minges Rd N
Battle Creek, MI 49015-7909
Phone
(269) 380-7588
Fax
(269) 294-0612
NPI assigned
Jan 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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 7101007341 MI Primary

Addresses

Primary practice location

91 Minges Rd N
Battle Creek, MI 49015-7909

Mailing address

5420 Beckley Rd # 255
Battle Creek, MI 49015-5719
Phone (269) 380-7588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7101007341MIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1114632049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 BECKLEY RD # 255",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490155719",
            "telephone_number": "269-380-7588",
            "fax_number": "269-294-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MINGES RD N",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157909",
            "telephone_number": "269-380-7588",
            "fax_number": "269-294-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASELLO",
        "first_name": "PATRICIA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101007341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.