Individual provider Active NPI

Melissa Ann Ihrig, M.S. CCC-SLP TSLD

  • Speech-Language Pathologist
  • Walworth, NY
National Provider Identifier
1891023792
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
019626-1 Issued in NY
Practice address
3217A Sherwood Dr
Walworth, NY 14568
Phone
(585) 329-7360
NPI assigned
Dec 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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 019626-1 NY Primary

Addresses

Primary practice location

3217A Sherwood Dr
Walworth, NY 14568

Mailing address

3217A Sherwood Dr
Walworth, NY 14568-9417
Phone (585) 329-7360

Other practice location 1

3217A Sherwood Dr
Walworth, NY 14568
Phone (585) 329-7360

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130508000283 NY Practitioner - Qualified Speech Language Pathologist 2567609712 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
019626NYMDClinical Psychologist
019626-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc. CurrentSince Dec 1, 2017 Accepting new patients
Bright Start Pediatric Services Past Accepting new patients

Locations

150 Van Buren St
Newark, NY 14513
Phone (315) 331-7741

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": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1891023792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217A SHERWOOD DR",
            "city": "WALWORTH",
            "state": "NY",
            "postal_code": "145689417",
            "telephone_number": "585-329-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217A SHERWOOD DR",
            "city": "WALWORTH",
            "state": "NY",
            "postal_code": "14568",
            "telephone_number": "585-329-7360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3217A Sherwood Dr",
            "address_purpose": "LOCATION",
            "city": "Walworth",
            "state": "NY",
            "postal_code": "14568",
            "country_code": "US",
            "telephone_number": "585-329-7360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IHRIG",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP TSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019626-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walworth, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.