Individual provider Active NPI

Melanie Schuckman, MA-CCC/SLP

  • Speech-Language Pathologist
  • Middletown, OH
National Provider Identifier
1477070175
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP9423 Issued in OH
Practice address
1324 Middletown Eaton Rd
Middletown, OH 45042-1525
Phone
(513) 420-4755
NPI assigned
Aug 24, 2017
Last updated
Aug 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

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 SP9423 OH Primary

Addresses

Primary practice location

1324 Middletown Eaton Rd
Middletown, OH 45042-1525

Mailing address

516 Prytania Ave
Hamilton, OH 45013-2911
Phone (513) 313-6319

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

State licenses

LicenseStateTypeSpecialty
SP9423OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1477070175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 PRYTANIA AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450132911",
            "telephone_number": "513-313-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 MIDDLETOWN EATON RD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450421525",
            "telephone_number": "513-420-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUCKMAN",
        "first_name": "MELANIE",
        "credential": "MA-CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP9423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.