Melody Carol Haryanto, MA, CCC/SLP ASDCS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

104417 Issued in TX

Practice address

2743 Imperia Dr Ste 103
Sugar Land, TX 77479-8988

Phone

(281) 616-3839

Fax

(346) 299-5196

NPI assigned

Jan 13, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Confident Kids Therapy LLC

  • Speech-Language Pathologist
  • Sugar Land, TX
  • NPI 1245705268
  NPD Authorized official
• The Speech Enrichment Center, LP

  • Speech-Language Pathologist
  • Missouri City, TX
  • NPI 1962597617
  NPD (past)

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1215174271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 IMPERIA DR STE 103",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798988",
            "telephone_number": "281-616-3839",
            "fax_number": "346-299-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 IMPERIA DR STE 103",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798988",
            "telephone_number": "281-616-3839",
            "fax_number": "346-299-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARYANTO",
        "first_name": "MELODY",
        "middle_name": "CAROL",
        "credential": "MA, CCC/SLP ASDCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen A. Harris, D.C.
• Jennifer Harrison, NP
• Harshida J Chaudhari MD PA
• Erich Lee Hartzog, PT
• Najah Elizabeth Harvey, DPT
• Khairunisa Moosa Hashmani, RDH, BS
• Aqsa Hashmi
• Hashwani Healthcare, PLLC
• Arafat Ali Hashwani, M.D.
• Shahid Hasnain, M.D.

• Speech-Language Pathologist in Sugar Land, TX
• Providers in Sugar Land, 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 Apr 24, 2024; 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.