Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Melina Shivbaran, MA, CCC-SLP

Individual provider Early Intervention Provider Agency · NPI 1710470018

MS. Melina Shivbaran, MA, CCC-SLP is an Early Intervention Provider Agency in Astoria, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1407 30th Rd
Astoria, NY 11102-3639
Phone: (646) 644-0349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7000 Austin St Ste 200, Forest Hills, NY 11375-4739 — (718) 762-7633

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 029417 (NY)
Early Intervention Provider Agency Taxonomy 252Y00000X · Licence 1230032181 (NY)

Record details

NPI number1710470018
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedJune 11, 2018
Last updated in NPPESDecember 10, 2019
Certification dateDecember 10, 2019

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