Mark Charles Meyer, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22004482A Issued in IN

Practice address

4273 Blackwood CT
Greenwood, IN 46143-7908

Phone

(317) 777-2655

NPI assigned

Oct 17, 2013

Sex

Male

Sole proprietor

Yes

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 Arts

State licenses

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381968000000",
    "number": "1699103283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4273 BLACKWOOD CT",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437908",
            "telephone_number": "317-777-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4273 BLACKWOOD CT",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437908",
            "telephone_number": "317-777-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MARK",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004482A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiley Lynne Merriman
• Tashauna Merriweather, LMHC, LCAC, NBCC
• Jessica Elaine Mertz, ATC
• Grisel Ivette Mesa
• Hannah Messersmith, RBT
• Sarah Katherina Meyer, MA
• Meghan Westbury Meyers, M.A., CCC-SLP
• MFDC of Indiana, Inc
• Sarah Lorraine Michael, RN
• Michele Michalski, LCSW

• Speech-Language Pathologist in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.