Melanie Russo, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

005608 Issued in CT

Practice address

26 Shenipsit Lake Rd
Tolland, CT 06084-2332

Phone

(860) 872-2999

NPI assigned

Jul 10, 2020

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 Science

State licenses

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1891313383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HARTFORD TPKE APT 661",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060669409",
            "telephone_number": "203-671-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SHENIPSIT LAKE RD",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060842332",
            "telephone_number": "860-872-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "MELANIE",
        "name_prefix": "Miss",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "005608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Americo Rodrigues, PT
• Cara Romeo, DPT
• Michele Giles Romero, APRN
• Robin G Rosen, LADC
• Anita C Russell
• Kaitlyn Marie Ryan, OTR/L
• Harold Sandals, M.D.
• Marissa Santos, PT, DPT
• Neil Schneeberg
• Beth Schweitzer, MD

• Speech-Language Pathologist in Tolland, CT
• Providers in Tolland, CT by specialty
• Speech-Language Pathologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.