Individual provider Active NPI

Melissa Demiguel, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Mesa, AZ
National Provider Identifier
1629355573
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP7413 Issued in AZ
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

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20111027000539 AZ Practitioner - Qualified Speech Language Pathologist 3375716939 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Theracare PLLC Speech-Language Pathologist CurrentSince Aug 12, 2025 Accepting new patients
Sjhmc Physician Services CurrentSince Jun 1, 2009 Accepting new patients
Baio Enterprises Speech-Language Pathologist PastSince Dec 1, 2021 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.

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.

Verify at the official NPI Registry.