Individual provider Active NPI

Melanie J. Palcic, M.A.-CCC, SLP

  • Speech-Language Pathologist
  • Colorado City, CO
National Provider Identifier
1740404581
Registry record updated Jul 9, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jun 18, 2020.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
6230 Waco Mish Road
Colorado City, CO 81019-2104
Phone
(719) 251-2398
Fax
(719) 676-2351
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 CO Primary

Addresses

Primary practice location

6230 Waco Mish Road
Colorado City, CO 81019-2104

Mailing address

PO Box 20104
Colorado City, CO 81019-2104
Phone (719) 251-2398

Other identifiers 1

IdentifierTypeStateIssuer
45159211MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Greenhorn Health Services PCT Past Accepting new patients
Southern Colorado Therapy Care, Inc. Speech-Language Pathologist Past Accepting new patients

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740404581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20104",
            "city": "COLORADO CITY",
            "state": "CO",
            "postal_code": "810192104",
            "telephone_number": "719-251-2398",
            "fax_number": "719-676-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 WACO MISH ROAD",
            "city": "COLORADO CITY",
            "state": "CO",
            "postal_code": "810192104",
            "telephone_number": "719-251-2398",
            "fax_number": "719-676-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALCIC",
        "first_name": "MELANIE",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "M.A.-CCC, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45159211",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado City, CO

Sources for this page

Verify at the official NPI Registry.