Melissa Peters Speech Pathology Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MELISSA PETERS SPEECH PATHOLOGY INC

Practice address

2728 3Rd St Apt 203
Santa Monica, CA 90405-4173

Phone

(424) 279-8379

NPI assigned

Sep 8, 2020

Last updated

Apr 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Reva Peters, SLP

Title

Director

Phone

(424) 279-8379

Specialties & licenses 3

Addresses

Other names 1

• Speak Live Play Other name

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1316551278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10102",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902956102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 3RD ST APT 203",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904054173",
            "telephone_number": "424-279-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA PETERS SPEECH PATHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "REVA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "424-279-8379",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speak Live Play",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephen B. Meisel, M.D.
• Oleg Melamed, MD
• Sheila Rachel Melekh-Shalom
• Antonio Melgoza
• Melinda Wheeler Pruitt DDS, Inc
• Alex Melkumian, LMFT
• Meri Meloyan, MPT
• Shelley Maree Melvin, NP
• Mayra Mendez, PH.D.
• Sara Elizabeth Mendez

• Speech-Language Pathologist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.