MELISSA FREDERICKSON MS, CCC/SLP
NPI 1184255804
Speech-Language Pathologist in San Diego, CA

Q: What is Melissa Frederickson's NPI number?

The NPI number for Melissa Frederickson is 1184255804. It was assigned to this individual provider in the NPPES registry on January 31, 2020.

Q: What is Melissa Frederickson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Active since January 31, 2020Accepts Medicare Assignment

15004 INNOVATION DR, SAN DIEGO, CA 92128(858) 605-7189 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 19, 2020, Jan 31, 2020 (2 updates tracked since 2020).

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About Melissa Frederickson Ms, Ccc/slp NPPES

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

MELISSA FREDERICKSON MS, CCC/SLP (NPI 1184255804) is an individual speech-language pathologist provider in San Diego, California, licensed in California (15524) and active in the NPI registry since January 2020. She is a graduate of University Of Utah School Of Medicine (2003).

NPPES Registry Identity

NPI1184255804

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMELISSA FREDERICKSONCredential: MS, CCC/SLP

Location Address15004 INNOVATION DRSan Diego, CA 92128-3491

Mailing Address10790 Rancho Bernardo Rd # 4s-205San Diego, CA 92127-5705 · (858) 605-9866 · Fax (858) 605-1109

Phone(858) 605-7189

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2003

Enumeration DateJanuary 31, 2020

Last NPPES UpdateNovember 19, 20202 updates tracked since enumeration

NPPES CertifiedNovember 19, 2020

✔ NPI 1184255804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in CA · 15524

Definition

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.

15004 INNOVATION DR, San Diego, CA 92128

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melissa Frederickson Ms, Ccc/slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274944236

PECOS Enrollment IDI20201123001587

Medicare Billing Reassignment

Medicare enrollment records show Melissa Frederickson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Scripps Health

11 mi

General Acute Care Hospital

9888 GENESEE AVE
La Jolla, CA 92037

Reassigned Medicare billing, California enrollment
1,598 clinicians in this Medicare group

NPI 1841277704 (858) 457-4123

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure for a range of mental processes, each additional 15 minutes 97130

This therapy procedure focuses on improving mental processes. Each additional 15-minute segment allows for a deeper understanding of your thoughts, feelings, and behaviors. The goal is to enhance your mental well-being and overall quality of life.

683 services26 patients

Therapy procedure for a range of mental processes, initial 15 minutes 97129

This therapy session, lasting 15 minutes, focuses on improving your mental processes. It's an initial step towards understanding your mental health needs. The therapist will engage in conversation, listen to your concerns, and help identify areas for improvement.

232 services26 patients

Treatment of speech, language, voice, communication, and/or hearing processing disorder 92507

This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.

133 services23 patients

Test to assess the ability to complete specific functional tasks applicable to environment 96125

This is a test that measures your ability to perform certain tasks that are relevant to your daily life and environment. It evaluates how well you can manage activities like cooking, cleaning, or shopping. It doesn't involve any invasive procedures.

34 services17 patients

Treatment of swallowing and feeding disorder 92526

Treatment for swallowing and feeding disorders involves a team of specialists who will work together to improve your ability to eat and drink safely. This may include exercises to strengthen swallowing muscles, dietary changes, or special techniques to make swallowing easier.

20 services12 patients

Evaluation of swallowing function 92610

Evaluation of swallowing function is a medical procedure that assesses your ability to swallow food and drink safely. This involves studying the muscles and nerves involved in swallowing. It helps identify any issues that might lead to difficulties in eating or drinking.

11 services11 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARGARET ANN FULLER

Occupational Therapist (Physical Rehabilitation)