Individual provider Active NPI

Melissa Ly, MS, CCC-SLP

  • Speech-Language Pathologist
  • Harbor City, CA
National Provider Identifier
1265834873
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22283 Issued in CA
Practice address
24328 Vermont Ave Ste 318
Harbor City, CA 90710-2314
Phone
(424) 250-9615
NPI assigned
Sep 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP2479 ME
Speech-Language Pathologist 235Z00000X 22283 CA Primary

Addresses

Primary practice location

24328 Vermont Ave Ste 318
Harbor City, CA 90710-2314

Mailing address

24328 Vermont Ave
Harbor City, CA 90710-2314
Phone (424) 250-9615

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissal@learningtreetherapy.com Direct

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
SP2479MEMDSpeech-Language Pathologist
22283CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Learning Tree Therapy, Inc Speech-Language Pathologist Past Accepting new patients
Northeast Hearing and Speech Center, Inc. Speech-Language Pathologist PastSince Jan 12, 2006 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1265834873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24328 VERMONT AVE",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102314",
            "telephone_number": "424-250-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24328 VERMONT AVE STE 318",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102314",
            "telephone_number": "424-250-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "MELISSA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP2479",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "22283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissal@learningtreetherapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "24328 Vermont Ave Ste 318",
            "city": "Harbor City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907102314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harbor City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.