Melissa Kim Morrison, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP20914 Issued in CA

Practice address

1415 Ridgeback Rd Ste 21
Chula Vista, CA 91910-6984

Phone

(619) 207-0984

NPI assigned

Sep 5, 2012

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

Other names 1

• Melissa Kim Larson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Pediatric Therapy Works Speech-Language and Development Co

  • Speech-Language Pathologist
  • Chula Vista, CA
  • NPI 1124592563
  NPD Authorized official
• Pediatric Therapy Works, Inc.

  dba Foundations Therapy

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Clearwater, FL
  • NPI 1730389248
  NPD (past)

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1437408457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 RIDGEBACK RD STE 21",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106984",
            "telephone_number": "619-207-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 RIDGEBACK RD STE 21",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106984",
            "telephone_number": "619-207-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "MELISSA",
        "middle_name": "KIM",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP20914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "LARSON",
            "middle_name": "KIM",
            "credential": "M.S. CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jessica Lexanne Morris, COTA
• Raylina Kimberly Morris
• Richard Morris
• Sheila Mae Morris, OTR/L
• Ellen Morrison
• James Evans Morse, RPH
• Jujen Ellysha Morta, NP
• Kacie Morton, RN
• Melanie Morwood
• Schola Mosbei, RN

• Speech-Language Pathologist in Chula Vista, CA
• Providers in Chula Vista, 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 Jun 29, 2023; 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.