Alyssa Mehltretter, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

5544 Main St
2ND Floor
Williamsville, NY 14221-5406

Phone

(716) 580-3976

Fax

(716) 580-3978

NPI assigned

Apr 1, 2012

Last updated

Oct 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Alyssa Spina Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Key Changes Therapy Services, Inc

  • Speech-Language Pathologist
  • West Columbia, SC
  • NPI 1669719530
  NPD

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

{
    "created_epoch": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1457627648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5544 MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215406",
            "telephone_number": "716-580-3976",
            "fax_number": "716-580-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5544 MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215406",
            "telephone_number": "716-580-3976",
            "fax_number": "716-580-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHLTRETTER",
        "first_name": "ALYSSA",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-01",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021777-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "SPINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Medical Weight Loss and Healthcare
• Jeanne Medna, LPN
• Carol Meer, LMHC
• Megha Patel Family Health NP PLLC
• Shahid Mehboob, MD
• Jeffrey Gregory Meilman, M.D.
• Julia D Melanson, DO
• Melissa Michele Mele-Delgado, ANP
• Dianna Melman, DDS
• Zebunnissa Memon, MD, CFMP

• Speech-Language Pathologist in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.