Individual provider Active NPI

Maelyn Danielle McCarty, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Fresno, CA
National Provider Identifier
1659838688
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13289 Issued in CA
Practice address
540 E Herndon Ave
Fresno, CA 93720-2993
Phone
(559) 431-0340
NPI assigned
Feb 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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 13289 CA Primary

Addresses

Primary practice location

540 E Herndon Ave
Fresno, CA 93720-2993

Mailing address

540 E Herndon Ave
Fresno, CA 93720-2993
Phone (559) 431-0340

Other names 1

  • Maelyn Danielle De Fede Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220830002118 CA Practitioner - Qualified Speech Language Pathologist 4688058308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard S Demera MD IncGroup PAC ID 9032291679, 6 clinicians

Practice addresses (Care Compare)

540 E Herndon Ave
Suite 101
Fresno, CA 93720-2993
Phone (559) 431-0340

Merit-based Incentive Payment System (MIPS)

Final score
82.7 of 100Reported as group
Quality
77.96
Improvement activities
40
Cost
71.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13289CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Richard S. Demera, M.D. Inc. Speech-Language Pathologist CurrentSince Aug 1, 2022 Accepting new patients

Locations

540 E Herndon Ave
Ste 101
Fresno, CA 93720
Phone (559) 431-0340

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1659838688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202993",
            "telephone_number": "559-431-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202993",
            "telephone_number": "559-431-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "MAELYN",
        "middle_name": "DANIELLE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "13289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAELYN",
            "last_name": "DE FEDE",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.