Individual provider Active NPI

Massiel Merlo-Gomez, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1457499097
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA5789 Issued in FL
Practice address
8300 W Flagler St Ste 170
Miami, FL 33144-2098
Phone
(786) 633-5171
Fax
(786) 558-9279
NPI assigned
Feb 4, 2007
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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 SA5789 FL Primary

Addresses

Primary practice location

8300 W Flagler St Ste 170
Miami, FL 33144-2098

Mailing address

7005 Loch Isle Dr S
Miami Lakes, FL 33014-2081
Phone (305) 336-6799

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
SA5789FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Olympus Healthcare Services Inc CurrentSince Jun 23, 2024 Accepting new patients

Locations

8300 W Flagler St
Ste 170
Miami, FL 33144
Phone (786) 633-5171

Organizations & group practices 1

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": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1457499097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 LOCH ISLE DR S",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142081",
            "telephone_number": "305-336-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W FLAGLER ST STE 170",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442098",
            "telephone_number": "786-633-5171",
            "fax_number": "786-558-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERLO-GOMEZ",
        "first_name": "MASSIEL",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-04",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.