Melissa Anne Mimidis Horwatt, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202005366 Issued in VA

Practice address

8270 Willow Oaks Corporate Dr
Fairfax, VA 22031-4530

Phone

(571) 423-4900

NPI assigned

Apr 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Metzger Gilbert Childrens Speech

  • Speech-Language Pathologist
  • Washington, DC
  • NPI 1427228931
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723852800000",
    "number": "1669435863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W BROAD ST",
            "address_2": "SUITE 215",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463340",
            "telephone_number": "703-533-8819",
            "fax_number": "703-533-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8270 WILLOW OAKS CORPORATE DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314530",
            "telephone_number": "571-423-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 W Broad St",
            "address_2": "Suite 215",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220463340",
            "country_code": "US",
            "telephone_number": "703-533-8819 x1",
            "fax_number": "703-533-7723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIMIDIS HORWATT",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "50-1216113",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "231365369",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian Mills, M.D.
• Ivy Mills
• Sydney Louise Mills, PSY.D.
• Regina M Milteer, MD
• Regan Chandler Milton
• Jennifer McKee Min
• Kiho Min, MD
• John Robert Minarcik Jr., M.D.
• Mind Matters Psychiatry, LLC
• Mind Meadow Counseling LLC

• Speech-Language Pathologist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; 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.