Charli Chae Mellott, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

116863 Issued in TX

Practice address

2300 W Morton St Ste 114
Denison, TX 75020-1671

Phone

(903) 462-4085

Fax

(903) 465-5533

NPI assigned

Aug 11, 2022

Last updated

Aug 11, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Janee Standifer SLP, LLC

  • Speech-Language Pathologist
  • Durant, OK
  • NPI 1598222051
  Medicare reassignment NPD

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1114655644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W MORTON ST STE 114",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201671",
            "telephone_number": "903-462-4085",
            "fax_number": "903-465-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W MORTON ST STE 114",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201671",
            "telephone_number": "903-462-4085",
            "fax_number": "903-465-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLOTT",
        "first_name": "CHARLI",
        "middle_name": "CHAE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas E McGee, MD
• McGehee Counseling, PLLC
• Andrew McGinnis, DPT
• Amanda McLain
• Lee A Meier, CRNA
• Jackie L. Merck
• Allie Jo Meredith, OTR, MOT
• Michael J. Courtright, DMD, P.C.
• Millennium Neo Texoma PLLC
• Millennium OB GYN of Texoma PLLC

• Speech-Language Pathologist in Denison, TX
• Providers in Denison, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.