Individual provider Active NPI

Melanie Marie Bassa, MA

  • Clinical Psychologist
  • Wheeling, WV
National Provider Identifier
1043431091
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
950 Issued in WV
Practice address
40 12TH St Ste 222
McLain Building
Wheeling, WV 26003-3279
Phone
(304) 232-0190
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 950 WV Primary

Addresses

Primary practice location

40 12TH St Ste 222
McLain Building
Wheeling, WV 26003-3279

Mailing address

40 12TH St Ste 222
McLain Building
Wheeling, WV 26003-3279
Phone (304) 232-0190

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
950WVMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043431091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 12TH ST STE 222",
            "address_2": "MCLAIN BUILDING",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033279",
            "telephone_number": "304-232-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 12TH ST STE 222",
            "address_2": "MCLAIN BUILDING",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033279",
            "telephone_number": "304-232-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSA",
        "first_name": "MELANIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.