MS. MELINA SHIVBARAN (NPI# 1710470018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710470018 |
| Entity Type | Individual |
| Full Name | MS. MELINA SHIVBARAN |
| Credential | MA, CCC-SLP |
| Practice Address |
1407 30th Rd Astoria NY 11102-3639 |
| Practice Telephone | 6466440349 |
| Mailing Telephone | 6466440349 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2019-12-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 029417 | NY | Speech, Language and Hearing Service Providers |
| N | 252Y00000X | Early Intervention Provider Agency | 1230032181 | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS LICENSE | 029417 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7000 Austin St Ste 200, Forest Hills, NY 113754739 | 7187627633 |
| Street Address |
1407 30TH RD |
| City | ASTORIA |
| State | NY |
| Zip Code | 11102-3639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301444 | Stephanie Angela Van Rossem | Nurse Practitioner | 28-18 Astoria Blvd, Astoria, Ny 11102, Astoria, NY 11102 | 2019-08-15 |
| 1831754118 | Ahmed Mohamed Sayed Zedan | Pharmacist | 3014 14th St, Astoria, NY 11102 | 2019-05-02 |
| 1841758927 | Prohealth Care Associates, LLP | Occupational Therapist | 27-17 Cresecent Street, Suite 1, Astoria, NY 11102 | 2019-03-07 |
| 1598231292 | Mayuri Ardak | Student in an Organized Health Care Education/Training Program | 25-40 30th Road Suite A1, Astoria, NY 11102 | 2018-10-19 |
| 1134626740 | Claudia Ahumada, Lcsw, Pllc | Social Worker | 2556 31st St Ste 302, Astoria, NY 11102 | 2018-04-10 |
| 1255840039 | Ashley Taylor Curaba | Physician Assistant | 25-10 30th Rd, Queens, NY 11102 | 2017-09-25 |
| 1265953517 | Kathleen Yetman | Student in an Organized Health Care Education/Training Program | 2707 8th Street, The Astoria Blue Feather Profram, Astoria, NY 11102 | 2017-06-27 |
| 1679933998 | Tarek R Khater | Clinic/Center | 2814 31st St, Suite 501, Astoria, NY 11102 | 2016-02-29 |
| 1295194116 | Individualized Family Care LLC | Community/Behavioral Health | 12-22 30th Ave, Apt 4h, Astoria, NY 11102 | 2016-02-19 |
| 1700288909 | Andre Farah Dc PC | Chiropractor | 29-15 Astoria Blvd, Astoria, NY 11102 | 2014-09-18 |
| Find all providers in zip 11102 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273948 | Jessica Maria Suarez | Speech-Language Pathologist | 2054 31st St Apt D8, Astoria, NY 11105-2550 | 2020-10-19 |
| 1164030607 | Athena M Tahos | Speech-Language Pathologist | 2388 31st St Apt 5c, Astoria, NY 11105-3327 | 2020-07-21 |
| 1508372798 | Athena Cintolo | Speech-Language Pathologist | 4414 Newtown Rd Apt 4b, Astoria, NY 11103-2245 | 2017-12-25 |
| 1720528847 | Jordan Wills | Speech-Language Pathologist | 2273 Steinway St Apt 13, Astoria, NY 11105-1843 | 2017-03-08 |
| 1285172528 | Espa Sergiou | Speech-Language Pathologist | 1814 21st Rd, Astoria, Astoria, NY 11105-3940 | 2017-02-07 |
| 1811431042 | Cassandra Huebenthal | Speech-Language Pathologist | 2121 Ditmars Blvd, Astoria, NY 11105-3416 | 2016-12-07 |
| 1174066542 | Sylvia Pinder | Speech-Language Pathologist | 2070 27th St, Astoria, NY 11105-2979 | 2016-12-02 |
| 1407399868 | Irene Karas | Speech-Language Pathologist | 3521 28th St, Apt C1, Astoria, NY 11106-3262 | 2016-12-02 |
| 1629511449 | Katina Digenakis | Speech-Language Pathologist | 3044 43rd St, Astoria, NY 11103-2637 | 2016-11-28 |
| 1205379039 | Brianna Kristen Kosmas | Speech-Language Pathologist | 3252 37th St, Astoria, NY 11103-4004 | 2016-11-28 |
| Find all providers in ASTORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.