Merceades Quinniece Green, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP29185 Issued in CA

Practice address

1601 Monte Vista Ave Ste 230
Claremont, CA 91711-6606

Phone

(909) 621-7956

NPI assigned

Apr 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Merceades Quinniece Murphy Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Strive Physical Therapy and Wellness Center PC

  • Physical Therapist
  • Montclair, CA
  • NPI 1386314490
  NPD
• Gary Brito DPT, a Physical Therapy Corporation

  • Physical Therapist
  • Pomona, CA
  • NPI 1457998254

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1609405166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1798 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672918",
            "telephone_number": "909-865-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE STE 230",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917116606",
            "telephone_number": "909-621-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MERCEADES",
        "middle_name": "QUINNIECE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP29185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERCEADES",
            "last_name": "MURPHY",
            "middle_name": "QUINNIECE",
            "credential": "MS, CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Reighan Grandolfo
• Grandtag Madisonrealty LLC
• Steven Michael Graves, ATC
• Green Life Legacy, LLC
• Green Medical Group
• Karen Greenbaum-Maya, PH. D.
• Jacquelyn C. Grillo, D.D.S.
• Jennifer Kaminski Guerra, MSPA-C
• Karen Michelle Uy-Uyan Guiang, D.O.
• Wendy J Guilbert-Neal, MSPT

• Speech-Language Pathologist in Claremont, CA
• Providers in Claremont, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.