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

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: August 16, 2026.

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

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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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.

Occupational Therapist (Physical Rehabilitation)
15004 INNOVATION DR
SAN DIEGO, CA 92128
Physical Therapist (Sports)
15004 INNOVATION DR
SAN DIEGO, CA 92128
Nurse Practitioner (Women's Health)
15004 INNOVATION DR
SAN DIEGO, CA 92128
Pediatrics
15004 INNOVATION DR
SAN DIEGO, CA 92128
Emergency Medicine
15004 INNOVATION DR
SAN DIEGO, CA 92128
Family Medicine
15004 INNOVATION DR
SAN DIEGO, CA 92128
Occupational Therapist
15004 INNOVATION DR
SAN DIEGO, CA 92128
Physical Therapist
15004 INNOVATION DR
SAN DIEGO, CA 92128

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 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.

Where is Melissa Frederickson located?

Melissa Frederickson practices at 15004 Innovation Dr, San Diego, CA 92128. The listed phone number is (858) 605-7189.

What is Melissa Frederickson's specialty?

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

Is Melissa Frederickson enrolled in Medicare?

Yes. Melissa Frederickson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Melissa Frederickson was last updated on November 19, 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.