Active NPI
Melvin P Melnick, M.D.
- Child & Adolescent Psychiatry Physician
- Pittsburgh, PA
National Provider Identifier
1003974692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD014633E
- Practice address
- 530 Marshall Ave.
Pittsburgh, PA 15214 - Phone
- (412) 442-2885
- Fax
- (412) 322-5405
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD014633E | PA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD014633E | PA | Primary |
Addresses
Primary practice location
530 Marshall Ave.
Pittsburgh, PA 15214
Mailing address
300 S Homewood Ave
Pittsburgh, PA 15208-2714
Phone (412) 442-2885
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005564420009 | Medicaid | PA | |
| 126699 | Other | PA | HIGHMARK BCBS |
| 0005564420008 | Medicaid | PA | |
| 0005564420007 | Medicaid | PA | |
| 0005564420006 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD014633E | PA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1003974692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S HOMEWOOD AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152082714",
"telephone_number": "412-442-2885",
"fax_number": "412-322-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 MARSHALL AVE.",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15214",
"telephone_number": "412-442-2885",
"fax_number": "412-322-5405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELNICK",
"first_name": "MELVIN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD014633E",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "MD014633E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005564420009",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS",
"identifier": "126699",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005564420008",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005564420007",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005564420006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.