Individual provider Active NPI

Melanie Olson Giles, MA,CCC-SLP

  • Speech-Language Pathologist
  • Beverly, MA
National Provider Identifier
1942368337
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5847 Issued in MA
Practice address
100 Cummings Ctr
Suite 135H
Beverly, MA 01915-6115
Phone
(978) 927-0172
Fax
(978) 927-0179
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2386 MA
Speech-Language Pathologist 235Z00000X 5847 MA Primary

Addresses

Primary practice location

100 Cummings Ctr
Suite 135H
Beverly, MA 01915-6115

Mailing address

41 Trask St
Gloucester, MA 01930-2834
Phone (978) 283-3312

Other identifiers 1

IdentifierTypeStateIssuer
SP0110OtherMABLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071227000205 MA Practitioner - Qualified Speech Language Pathologist 6002828381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of Massachusetts Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Speech Therapy Group LLCGroup PAC ID 4183714462, 7 clinicians

Practice addresses (Care Compare)

100 Cummings Ctr
135H
Beverly, MA 01915-6127
Phone (978) 927-0172

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2386MAMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Therapy Group, LLC. Behavior Analyst CurrentSince Nov 24, 2010 Accepting new patients
The Verbal ABA Clinic, LLC Behavior Analyst CurrentSince Nov 24, 2010 Accepting new patients
Masstex Imaging, LLC PastSince Apr 11, 2006 Accepting new patients

Locations

100 Cummings Ctr
Ste 135H
Beverly, MA 01915
Phone (978) 927-0172

Organizations & group practices 3

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1942368337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 TRASK ST",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302834",
            "telephone_number": "978-283-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR",
            "address_2": "SUITE 135H",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156115",
            "telephone_number": "978-927-0172",
            "fax_number": "978-927-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILES",
        "first_name": "MELANIE",
        "middle_name": "OLSON",
        "credential": "MA,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "2386",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "5847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "SP0110",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.