Active NPI
Melissa Demiguel, M.S. CCC-SLP
- Speech-Language Pathologist
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- TSLP7413
- Practice address
- 1745 S Alma School Rd
Ste 145
Mesa, AZ 85210-3049 - Phone
- (602) 393-0520
- NPI assigned
- Nov 7, 2011
- 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 | TSLP7413 | AZ | Primary |
Addresses
Primary practice location
1745 S Alma School Rd
Ste 145
Mesa, AZ 85210-3049
Mailing address
1745 S Alma School Rd
Ste 145
Mesa, AZ 85210-3049
Phone (480) 567-6717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theracare PLLC | Speech-Language Pathologist | Current | Accepting new patients |
| Sjhmc Physician Services | Current | Accepting new patients | |
| Baio Enterprises | Speech-Language Pathologist | Past | Accepting new patients |
| Wing Neurological Rehabilitation | Past | Accepting new patients |
Locations
2830 E Brown Rd
Ste 1
Mesa, AZ 85213
Phone (480) 830-1188
124 W Thomas Rd
Fl 2
Phoenix, AZ 85013
Phone (602) 282-0078
500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017
240 W Thomas Rd
Ste 301
Phoenix, AZ 85013
Phone (602) 406-6262
File 56765
Los Angeles, CA 90074
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St. Joseph's Faculty Physicians
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1326098005
-
- Speech-Language Pathologist
- Mesa, AZ
- NPI 1477801686
-
- Physical Therapist
- Phoenix, AZ
- NPI 1801840897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1629355573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1745 S ALMA SCHOOL RD",
"address_2": "STE 145",
"city": "MESA",
"state": "AZ",
"postal_code": "852103049",
"telephone_number": "480-567-6717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1745 S ALMA SCHOOL RD",
"address_2": "STE 145",
"city": "MESA",
"state": "AZ",
"postal_code": "852103049",
"telephone_number": "602-393-0520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMIGUEL",
"first_name": "MELISSA",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-07",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "TSLP7413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.