Suzanne B Mellott, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-1039 Issued in WV

Practice address

247 Harrison Ave
Berkeley Springs, WV 25411-1909

Phone

(304) 258-2430

NPI assigned

Mar 1, 2008

Sex

Female

Sole proprietor

Yes

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Morgan

  • Local Education Agency (LEA)
  • Berkeley Springs, WV
  • NPI 1518155399
  NPD (past)
• Morgan County Board of Education

  • Local Education Agency (LEA)
  • Berkeley Springs, WV
  • NPI 1306015136
  NPD (past)

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

{
    "created_epoch": "1204329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204329600000",
    "number": "1992975353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 RIDGEVIEW DR",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254116245",
            "telephone_number": "304-267-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 HARRISON AVE",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254111909",
            "telephone_number": "304-258-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLOTT",
        "first_name": "SUZANNE",
        "middle_name": "B",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-01",
        "last_updated": "2008-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-1039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James J McFarland
• Kevin Thomas McLaughlin, DO
• Bethany Mechem
• Jazmin N Mellott
• Justin Derek Mellott
• Michael Family Practice PLLC
• Amanda Gail Michael, D.O.
• Ashley Elizabeth Miller
• Christopher Miller
• Jessica Miller

• Speech-Language Pathologist in Berkeley Springs, WV
• Providers in Berkeley Springs, WV by specialty
• Speech-Language Pathologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2008; 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.