Active NPI
Melinda Peters Petrich, MACCCSLP
- Speech-Language Pathologist
- Glenshaw, PA
National Provider Identifier
1497883235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL007271
- Practice address
- 3394 Saxonburg Blvd
Suite 620
Glenshaw, PA 15116-3168 - Phone
- (412) 767-5967
- Fax
- (412) 767-5960
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL007271 | PA | Primary |
Addresses
Primary practice location
3394 Saxonburg Blvd
Suite 620
Glenshaw, PA 15116-3168
Mailing address
1358 Craigview Dr
Pittsburgh, PA 15243-1702
Phone (412) 276-6865
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101638115 | Medicaid | PA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SL007271 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228953600000",
"number": "1497883235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1358 CRAIGVIEW DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152431702",
"telephone_number": "412-276-6865",
"fax_number": "412-276-6865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3394 SAXONBURG BLVD",
"address_2": "SUITE 620",
"city": "GLENSHAW",
"state": "PA",
"postal_code": "151163168",
"telephone_number": "412-767-5967",
"fax_number": "412-767-5960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRICH",
"first_name": "MELINDA",
"middle_name": "PETERS",
"name_prefix": "Mrs.",
"credential": "MACCCSLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2008-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL007271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101638115",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glenshaw, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.