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MELINDA ANNETTE GREEN
NPI 1063010676
Clinic/Center - Developmental Disabilities in Boardman, OH

Active since October 15, 2020
22 MEADOWBROOK AVE, BOARDMAN, OH 44512(330) 774-4670 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melinda Annette Green NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELINDA ANNETTE GREEN (NPI 1063010676) is an individual developmental disabilities provider in Boardman, Ohio and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1063010676
Entity TypeIndividualFemale
Primary Taxonomy261QD1600X
Provider Legal NameMELINDA ANNETTE GREEN
Location Address22 MEADOWBROOK AVEBoardman, OH 44512-2605
Mailing Address22 Meadowbrook AveBoardman, OH 44512-2605 · (330) 774-4670
Phone(330) 774-4670
Sole ProprietorYes
Enumeration DateOctober 15, 2020
NPPES CertifiedOctober 15, 2020
✔ NPI 1063010676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
22 MEADOWBROOK AVE, Boardman, OH 44512
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Other Identifiers 1

Medicaid5505995OH

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melinda Green's NPI number?

The NPI number for Melinda Green is 1063010676. It was assigned to this individual provider in the NPPES registry on October 15, 2020.

Where is Melinda Green located?

Melinda Green practices at 22 Meadowbrook Ave, Boardman, OH 44512. The listed phone number is (330) 774-4670.

What is Melinda Green's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Melinda Green was last updated on October 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.