Active NPI
Melanie M Echols, PH.D.
- Clinical Psychologist
- Riverdale, GA
National Provider Identifier
1043353915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY002002
- Practice address
- 225 Medical Way
Riverdale, GA 30274-2522 - Phone
- (770) 996-9725
- Fax
- (770) 996-9724
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY002002 | GA | Primary |
Addresses
Primary practice location
225 Medical Way
Riverdale, GA 30274-2522
Mailing address
PO Box 562
Smyrna, GA 30081-0562
Phone (770) 996-9725
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 839707422B | Medicaid | GA | |
| 839707422B | Other | GA | CENPATICO |
| 819411000 | Other | GA | MAGELLAN |
| 10036639 | Other | GA | AMERIGROUP |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY002002 | GA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1043353915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 562",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300810562",
"telephone_number": "770-996-9725",
"fax_number": "770-996-9724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 MEDICAL WAY",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302742522",
"telephone_number": "770-996-9725",
"fax_number": "770-996-9724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECHOLS",
"first_name": "MELANIE",
"middle_name": "M",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY002002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "839707422B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CENPATICO",
"identifier": "839707422B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "819411000",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10036639",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Riverdale, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.