Individual provider Active NPI

Melissa Bari Sherman, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1194366617
Registry record updated Sep 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
030266 Issued in NY
Practice address
5404 Tilden Ave
Brooklyn, NY 11203-4608
Phone
(187) 346-6240
NPI assigned
Oct 6, 2019
Last updated
Sep 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2021

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 030266 NY Primary

Addresses

Primary practice location

5404 Tilden Ave
Brooklyn, NY 11203-4608

Mailing address

5404 Tilden Ave
Brooklyn, NY 11203-4608
Phone (718) 346-6240

Other practice location 1

7616 13th Ave
Brooklyn, NY 11228-2412
Phone (718) 630-5100

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
030266NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nasira Waters LLC CurrentSince Jan 15, 2023 Accepting new patients
Thursday's Child, Inc. PastSince May 1, 2020 Accepting new patients

Locations

7616 13th Ave
Brooklyn, NY 11228
Phone (718) 630-5100

Organizations & group practices 2

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": "1570320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631404800000",
    "number": "1194366617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 TILDEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112034608",
            "telephone_number": "718-346-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 TILDEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112034608",
            "telephone_number": "187-346-6240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7616 13th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112282412",
            "country_code": "US",
            "telephone_number": "718-630-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "MELISSA",
        "middle_name": "BARI",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-06",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2021; 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.