Melissa Renee Phillips, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-21509 Issued in CA

Practice address

215 W Avenida Palizada Apt D
San Clemente, CA 92672-4754

Phone

(805) 748-1476

NPI assigned

Dec 17, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1720626013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W AVENIDA PALIZADA APT D",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724754",
            "telephone_number": "805-748-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W AVENIDA PALIZADA APT D",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724754",
            "telephone_number": "805-748-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MELISSA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP-21509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mphillips@onceuponasoundslp.com",
            "affiliation": "N",
            "endpointDescription": "secure email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "unknown",
            "address_1": "215 W Avenida Palizada Apt D",
            "city": "San Clemente",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926724754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lianne Nahina Pfister, M.A., CCC-SLP
• Jessica Marie Pflibsen
• Magaly Arlen Phakousonh
• Phillips Speech Therapy Corp
• Deborah Phillips
• Richard Steven Phillips, DDS
• Riley Makenna Phillips, CF-SLP
• PHS San Clemente, Inc.
• Physician Nutraceutical Research, Inc
• Briana Pica, PT, DPT

• Speech-Language Pathologist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.