Individual provider Active NPI

Meliah Roman, SLP

  • Speech-Language Pathologist
  • Phoenix, AZ
National Provider Identifier
1174223259
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP13823 Issued in AZ
Practice address
1831 W Rose Garden LN Ste 4
Phoenix, AZ 85027-2725
Phone
(600) 280-8991
NPI assigned
Mar 7, 2023
Last updated
Apr 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 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 PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SLP13823 AZ Primary

Addresses

Primary practice location

1831 W Rose Garden LN Ste 4
Phoenix, AZ 85027-2725

Mailing address

3234 N Scottsdale Rd Apt 1070
Scottsdale, AZ 85251-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230426001835 AZ Practitioner - Qualified Speech Language Pathologist 7214392208 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Az BD of Regents for on Behalf of Northern Az University CurrentSince Apr 4, 2023 Accepting new patients
North Valley Pediatric Therapy, LLC Multi-Specialty CurrentSince Feb 2, 2025 Accepting new patients
Northern Arizona University Multi-Specialty Current Accepting new patients
Solace Pediatric Healthcare Therapy Services Az, Inc. Multi-Specialty CurrentSince Oct 1, 2023 Accepting new patients
Pioneer Pet, LLC Past Accepting new patients

Locations

208 E Pne Knl Dr
Flagstaff, AZ 86011
Phone (928) 523-5122

912 Riordan Rd
Flagstaff, AZ 86011
Phone (928) 523-1695

912 Riordan Rd
Bldg 27 A
Flagstaff, AZ 86011
Phone (928) 523-6773

1831 W Rose Garden Ln
Ste 4
Phoenix, AZ 85027
Phone (602) 808-9912

1930 E Southern Ave
Tempe, AZ 85282
Phone (480) 456-0719

60 E Rio Salado Pkwy
Ste 900
Tempe, AZ 85281
Phone (480) 456-0719

Organizations & group practices 5

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": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1174223259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3234 N SCOTTSDALE RD APT 1070",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852518000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 W ROSE GARDEN LN STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272725",
            "telephone_number": "600-280-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "MELIAH",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP13823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.