Melody Ray, BCBA, LMHC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-23681 Issued in FL

Practice address

350 Hollywood Blvd SE
Fort Walton Beach, FL 32548-5772

Phone

(850) 368-9373

NPI assigned

Nov 7, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• AL HMO D-SNP
• FL PPO
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• FL HMO D-SNP
• AL HMO
• FL HMO
• FL HMO C-SNP
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932
  Medicare reassignment NPD
• Onward Momentum Behavior Analysis and Mental Wellness Services, LLC

  • Community/Behavioral Health Agency
  • Fort Walton Beach, FL
  • NPI 1326585639
  NPD Authorized official
• The Discovery Tree Therapies, LLC

  • Behavior Analyst
  • Mary Esther, FL
  • NPI 1104398122
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1003358185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HOLLYWOOD BLVD SE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485772",
            "telephone_number": "850-368-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HOLLYWOOD BLVD SE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485772",
            "telephone_number": "850-368-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "MELODY",
        "credential": "BCBA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14594",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-16-23681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Rancour
• Darryl Randolph
• Erin Ranz, MOT, OTR/L
• Jeffery Ratcliff Jr.
• Rebecca Ratcliff, PT
• John Reaves
• Recovery Room- Immediate Care
• Briana Marie Redalieu
• Reddoch Williams MD LLC
• Brian Christopher Reed, MD

• Behavior Analyst in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.