Active NPI
Melissa Rae McDonald, M.A., CCC-SLP
- Speech-Language Pathologist
- Rising Sun, MD
National Provider Identifier
1912357757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 06752
- Practice address
- 103 Stone Run Dr
Rising Sun, MD 21911-2160 - Phone
- (610) 762-7182
- NPI assigned
- Jun 13, 2016
- Last updated
- Jun 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 06752 | MD | Primary |
Addresses
Primary practice location
103 Stone Run Dr
Rising Sun, MD 21911-2160
Mailing address
103 Stone Run Dr
Rising Sun, MD 21911-2160
Phone (610) 762-7182
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06752 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465776000000",
"number": "1912357757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 STONE RUN DR",
"city": "RISING SUN",
"state": "MD",
"postal_code": "219112160",
"telephone_number": "610-762-7182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 STONE RUN DR",
"city": "RISING SUN",
"state": "MD",
"postal_code": "219112160",
"telephone_number": "610-762-7182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "MELISSA",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-13",
"last_updated": "2016-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "06752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rising Sun, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.