Samantha Mello, MA CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Centennial, CO

NPI 1194473967 · NPPES record last updated Apr 4, 2023

Key facts

NPI
1194473967
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
9000 E Nichols Ave Ste 100
Centennial, CO 80112-3429
Phone
(860) 659-7835
NPI assigned
Mar 11, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Colorado Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: smello274152@direct.childrenscolorado.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

9000 E Nichols Ave Ste 100
Centennial, CO 80112-3429

Mailing address

5810 W 39TH PL
Wheat Ridge, CO 80212-7258
Phone (860) 659-7835

Other practice location 1

3401 Quebec St Ste 3500
Denver, CO 80207-2339
Phone (720) 706-3396

Other providers in Centennial, CO

All providers in Centennial, CO · Speech-Language Pathologist in Colorado

Sources for this page

Verify at the official NPI Registry.