Organization Active NPI

Melton Speech Services LLC

  • Speech-Language Pathologist
  • Wichita Falls, TX
National Provider Identifier
1548788912
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
107578 Issued in TX
Legal business name
MELTON SPEECH SERVICES LLC
Practice address
1500 Brook Ave
Wichita Falls, TX 76301-5604
Phone
(832) 257-0113
Fax
(832) 201-9991
NPI assigned
Sep 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mrs. Synda V Melton, MA CCC-SLP
Title
Owner
Phone
(832) 257-0113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 107578 TX Primary

Addresses

Primary practice location

1500 Brook Ave
Wichita Falls, TX 76301-5604

Mailing address

881 Schroeder Rd
Windthorst, TX 76389-4210
Phone (832) 257-0113

Other identifiers 3

IdentifierTypeStateIssuer
357084801MedicaidTX
357084802MedicaidTX
528747OtherTXBLUE CROSS/BLUE SHIELD

Other names 2

  • Melton Speech Services LLC Doing business as
  • Synda V Melton Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1548788912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 SCHROEDER RD",
            "city": "WINDTHORST",
            "state": "TX",
            "postal_code": "763894210",
            "telephone_number": "832-257-0113",
            "fax_number": "832-201-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015604",
            "telephone_number": "832-257-0113",
            "fax_number": "832-201-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELTON SPEECH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "SYNDA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-257-0113",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357084801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357084802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "528747",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melton Speech Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Synda V Melton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.