Melissa Penczek, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

012484 Issued in NY

Practice address

405 W Dominick St
Rome, NY 13440-4816

Phone

(315) 337-1533

Fax

(315) 337-1531

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

No

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

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.

• OT-PT Connection

  • Specialist
  • Rome, NY
  • NPI 1902835119
  NPD (past)
• Your Therapy Connection

  • Hand Occupational Therapist
  • Rome, NY
  • NPI 1598094435
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861445389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W DOMINICK ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134404816",
            "telephone_number": "315-337-1533",
            "fax_number": "315-337-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W DOMINICK ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134404816",
            "telephone_number": "315-337-1533",
            "fax_number": "315-337-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENCZEK",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric & Adolescent Medical Assoc PC
• Aimee Marie Peebles
• Nancy S Peek, CNM NP
• Kristen Peeters, DC
• Joshua Peiffer, DDS
• Kayla M Perry, PT, DPT
• Peter Michael Perry, LPN
• Brianna Peterson, MS, ED., CCC-SLP
• Angela Marie Petty, LCSWR RNC
• Barbara Lee Pfendler Ruiz

• Speech-Language Pathologist in Rome, NY
• Providers in Rome, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.