Active NPI
Melissa Muller
- Adult Mental Health Clinic/Center
- St Augustine, FL
National Provider Identifier
1043684608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 12080
- Legal business name
- MELISSA MULLER
- Practice address
- 248 Southpark Cir E
St Augustine, FL 32086-5137 - Phone
- (904) 797-5680
- NPI assigned
- Nov 19, 2015
- Last updated
- Nov 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Melissa Muller
- Title
- LMHC
- Phone
- (904) 797-5680
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 12080 | FL | Primary |
Addresses
Primary practice location
248 Southpark Cir E
St Augustine, FL 32086-5137
Mailing address
248 Southpark Cir E
St Augustine, FL 32086-5137
Phone (904) 797-5680
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- St Augustine, FL
- NPI 1154513323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447891200000",
"number": "1043684608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 SOUTHPARK CIR E",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865137",
"telephone_number": "904-797-5680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 SOUTHPARK CIR E",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865137",
"telephone_number": "904-797-5680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELISSA MULLER",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-19",
"last_updated": "2015-11-19",
"status": "A",
"authorized_official_last_name": "MULLER",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "LMHC",
"authorized_official_telephone_number": "904-797-5680",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "FL",
"license": "12080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
- Michelle Meis, RD
- Jennifer Mejia, LCSW
- Meleca Foot and Ankle LLC
- Salvatore Silvio Meleca, DPM
- Eliana Maria Melendez, D.C.
- Melissa Joy Melton
- Memorial Healthcare Group Inc (HCA Florida ER St. Augustine, a department of HCA Florida Memorial Hospital)
- Memorial Hospital Flagler Inc (AdventHealth Treaty Oaks ER)
- Gabor Menczelesz, MD
- Milton T. Mendenhall, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.