Alexa Meller

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

21664937 Issued in CT

Practice address

30 Farmstead LN
Farmington, CT 06032-2844

Phone

(704) 575-9626

NPI assigned

Sep 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Behavioral Education Assessment Consultation Services

  • Community/Behavioral Health Agency
  • Cromwell, CT
  • NPI 1932440617
  NPD (past)

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1891572103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 FARMSTEAD LN",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322844",
            "telephone_number": "704-575-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 FARMSTEAD LN",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322844",
            "telephone_number": "704-575-9626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 Lovely St",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CT",
            "postal_code": "060012940",
            "country_code": "US",
            "telephone_number": "704-575-9626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Court St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Cromwell",
            "state": "CT",
            "postal_code": "064161273",
            "country_code": "US",
            "telephone_number": "860-613-9930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELLER",
        "first_name": "ALEXA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VT",
            "license": "144.0134686",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "21664937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Craig Meiers, DMD, MS
• Myles William Melamed, M.D.
• Jadon Damien Melecio
• Renato Josue Melendez, MD
• Beatriz Mella Soares Pessoa, M.D
• Kiara Melton, MD
• Asante Kofi Mendes, M.D.
• Rafael Mendes
• Craig Allen Mendonca, MD
• Ana Menendez, MD

• Speech-Language Pathologist in Farmington, CT
• Providers in Farmington, 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 29, 2024; 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.