Individual provider Active NPI

Melanie Snyder Atencio, M.ED CCC-SLP

  • Speech-Language Pathologist
  • San Bernardino, CA
National Provider Identifier
1265267967
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
16164 Issued in CA
Practice address
275 W Hospitality LN Ste 103
San Bernardino, CA 92408-3238
Phone
(909) 567-2221
Fax
(909) 763-3216
NPI assigned
Sep 4, 2024
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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 16164 CA Primary

Addresses

Primary practice location

275 W Hospitality LN Ste 103
San Bernardino, CA 92408-3238

Mailing address

21100 State St SPC 214
San Jacinto, CA 92583-8214
Phone (951) 306-5879

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251028002950 CA Practitioner - Qualified Speech Language Pathologist 3678062932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21100 State St
SPC 214
San Jacinto, CA 92583-2335

21100 State St SPC
Suite 214
San Jacinto, CA 92583-8214

275 W Hospitality LN
Suite 100
San Bernardino, CA 92408-3238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Transit Physical Therapy PC Speech-Language Pathologist CurrentSince Aug 15, 2025 Accepting new patients
Nichols Speech Pathology and Therapy Services, Inc. Speech-Language Pathologist PastSince Sep 1, 2024 Accepting new patients
Nichols Speech and Language Services Speech-Language Pathologist PastSince Sep 1, 2024 Accepting new patients

Locations

851 E Sixth St
Ste A4
Beaumont, CA 92223
Phone (909) 756-7001

275 W Hospitality Ln
Ste 102
San Bernardino, CA 92408
Phone (909) 567-2221

275 W Hospitality Ln
Ste 103
Sn Bernrdno, CA 92408
Phone (909) 567-2221

Organizations & group practices 3

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": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1265267967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21100 STATE ST SPC 214",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925838214",
            "telephone_number": "951-306-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W HOSPITALITY LN STE 103",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083238",
            "telephone_number": "909-567-2221",
            "fax_number": "909-763-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATENCIO",
        "first_name": "MELANIE",
        "middle_name": "SNYDER",
        "credential": "M.ED CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "16164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.