Melody Darlene Palm, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2004005777 Issued in MO

Practice address

1330 E Cherry St
Suite 1
Springfield, MO 65802-3429

Phone

(417) 818-4187

Fax

(417) 863-7039

NPI assigned

May 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gateway Counseling Center, Inc.Group PAC ID 9234282112, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• IA HMO C-SNP
• IA HMO

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

• Gateway Counseling Center, Inc.

  • Psychologist
  • Springfield, MO
  • NPI 1962632489
  Medicare reassignment Care Compare group NPD
• Palm Psychological Services

  dba Stephanie Hartley PsyD

  • Clinical Psychologist
  • Springfield, MO
  • NPI 1508722075
  Authorized official Same address or phone
• Still Waters Counseling

  • Community/Behavioral Health Agency
  • Springfield, MO
  • NPI 1184870859
  Authorized official Same address or phone

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053528505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 E CHERRY ST",
            "address_2": "SUITE 1",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658023429",
            "telephone_number": "417-818-4187",
            "fax_number": "417-863-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 E CHERRY ST",
            "address_2": "SUITE 1",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658023429",
            "telephone_number": "417-818-4187",
            "fax_number": "417-863-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALM",
        "first_name": "MELODY",
        "middle_name": "DARLENE",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2004005777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pal Therapy Services, LLC (Paige Lukachick Therapy)
• Kathy A. Palen, FNP-C
• Ryan Palenske, DO
• Brian Stephan Pallohusky, MD
• Palm Psychological Services (Stephanie Hartley PsyD)
• Ashley Brooke Palmer, FNP-C
• Christine J Palmer, PA-C
• Jennifer Leigh Palmer
• Susan Palmer, R.PH.
• Tyler Palmer, M.S., CFY-SLP

• Clinical Psychologist in Springfield, MO
• Providers in Springfield, MO by specialty
• Clinical Psychologist in Missouri

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.