Melanie J Petrushko, M.S. CCC-S-LP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLPLPA00210185 Issued in KY

Practice address

3699 Alexandria Pike Ste D
Cold Spring, KY 41076-1789

Phone

(859) 572-0430

NPI assigned

Mar 2, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Speech-Language Therapy Services

  • Speech-Language Pathologist
  • Cold Spring, KY
  • NPI 1669591269
  NPD (past)
• Speech/Language Therapy Services LLC

  • Speech-Language Pathologist
  • Cold Spring, KY
  • NPI 1992329668
  NPD (past)

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1659763514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5085 PETERSBURG RD",
            "city": "PETERSBURG",
            "state": "KY",
            "postal_code": "410809350",
            "telephone_number": "859-586-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3699 ALEXANDRIA PIKE STE D",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "410761789",
            "telephone_number": "859-572-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUSHKO",
        "first_name": "MELANIE",
        "middle_name": "J",
        "credential": "M.S. CCC-S-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "SLPLPA00210185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Otto
• Bhadra Parikh, M.D.
• Ritesh B Patel, O.D.
• Peace of Mind Counseling Services LLC
• Performance Health & Rehabilitation Chiropractic Center PLLC
• Julie D Piscitello, PT
• Nicole Ponting, MS CCC-SLP
• Jamie Potter, IECE
• Stephanie Lynn Poynter, SPEECH THERAPIST
• Srividya Prabhu, DMD

• All providers in Cold Spring, KY
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.