Active NPI
Melissa Bornstein, M.S. CCC-SLP, M.H.A.
- Speech-Language Pathologist
- Easton, PA
National Provider Identifier
1538670526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL012810
- Practice address
- 821 Spring Garden St
Easton, PA 18042-3345 - Phone
- (484) 240-1238
- NPI assigned
- Oct 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | SL012810 | PA | Primary |
Addresses
Primary practice location
821 Spring Garden St
Easton, PA 18042-3345
Mailing address
821 Spring Garden St
Easton, PA 18042-3345
Phone (484) 240-1238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220922003889 | PA | Practitioner - Qualified Speech Language Pathologist | 4981089182 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL012810 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1538670526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 SPRING GARDEN ST",
"city": "EASTON",
"state": "PA",
"postal_code": "180423345",
"telephone_number": "484-240-1238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 SPRING GARDEN ST",
"city": "EASTON",
"state": "PA",
"postal_code": "180423345",
"telephone_number": "484-240-1238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORNSTEIN",
"first_name": "MELISSA",
"credential": "M.S. CCC-SLP, M.H.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-17",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL012810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.