Individual provider Active NPI

Melissa Eliza Savage

  • Speech-Language Pathologist
  • Rocklin, CA
National Provider Identifier
1710224472
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
20058 Issued in CA
Practice address
901 Farm House LN
Rocklin, CA 95765-5369
Phone
(510) 759-7829
NPI assigned
Jan 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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 20058 CA Primary

Addresses

Primary practice location

901 Farm House LN
Rocklin, CA 95765-5369

Mailing address

901 Farm House LN
Rocklin, CA 95765-5369
Phone (510) 759-7829

Other identifiers 1

IdentifierTypeStateIssuer
1710224472MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL meslissasavage@buildingblocksspeech.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200515000742 CA Practitioner - Qualified Speech Language Pathologist 4082045695 Practice locations: Rocklin, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Building Blocks Speech and Language Co. CurrentSince May 24, 2020 Accepting new patients
Cook Speech and Language Inc Speech-Language Pathologist Past Accepting new patients

Locations

6508 Lonetree Blvd
Ste 104
Rocklin, CA 95765
Phone (510) 759-7829

Organizations & group practices 2

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": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1710224472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 FARM HOUSE LN",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655369",
            "telephone_number": "510-759-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 FARM HOUSE LN",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655369",
            "telephone_number": "510-759-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "MELISSA",
        "middle_name": "ELIZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "20058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710224472",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "meslissasavage@buildingblocksspeech.com",
            "affiliation": "N",
            "address_1": "901 Farm House Ln",
            "city": "Rocklin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "957655369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.