Merryn Skarphol-Pellizzer

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2400 W 64TH St
Richfield, MN 55423-1001

Phone

(612) 767-7931

NPI assigned

May 13, 2021

Last updated

Aug 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fraser Child and Family Center

  • Adolescent and Children Mental Health Clinic/Center
  • Minneapolis, MN
  • NPI 1609922194
  NPD
• Center for Speech, Language and Learning, Inc.

  dba Center for Speech Language Lea

  • Speech-Language Pathologist
  • Oakdale, MN
  • NPI 1164588307
  NPD (past)
• Center for Speech, Language, and Learning, Inc.

  • Hearing and Speech Clinic/Center
  • Oakdale, MN
  • NPI 1588592471
  NPD (past)
• Fraser

  • Rehabilitation Clinic/Center
  • Richfield, MN
  • NPI 1063568574
  NPD (past)

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1407420623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W 64TH ST",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231001",
            "telephone_number": "763-496-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W 64TH ST",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231001",
            "telephone_number": "612-767-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKARPHOL-PELLIZZER",
        "first_name": "MERRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "merryn.skarpholpellizzer@fraser.org",
            "affiliation": "N",
            "address_1": "2400 W 64th St",
            "city": "Richfield",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554231001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Silvercrest Properties, LLC
• Raluca Otilia Sima, O.D.
• Harpreet Singh, MD
• Neerja Singh, PHD, LICSW
• Sisters Home Health Care LLC
• Nicole Joy Slavik, PSY.D. , LP
• Brianca Smith, LPCC
• Hannah Smith, MS, RD, LD
• Helene Margaret Smith
• Jennifer Lynn Smith, PAC

• Speech-Language Pathologist in Richfield, MN
• Providers in Richfield, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.