Organization Active NPI

Melton Psychology Group, LLC

  • Clinical Psychologist
  • Phoenix, AZ
National Provider Identifier
1063953404
Registry record updated Mar 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4459 Issued in AZ
Legal business name
MELTON PSYCHOLOGY GROUP, LLC
Practice address
800 N 1St Ave
Phoenix, AZ 85003-1402
Phone
(602) 832-1428
NPI assigned
Mar 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2017

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

Authorized official

Name
Dr. Michelle L Melton, PSYD
Title
Clinical Psychologist
Phone
(602) 832-1428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 4459 AZ Primary

Addresses

Primary practice location

800 N 1St Ave
Phoenix, AZ 85003-1402

Mailing address

800 N 1St Ave
Phoenix, AZ 85003-1402
Phone (602) 832-1428

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1489795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489795200000",
    "number": "1063953404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N 1ST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031402",
            "telephone_number": "602-832-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N 1ST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031402",
            "telephone_number": "602-832-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELTON PSYCHOLOGY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-18",
        "last_updated": "2017-03-18",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "602-832-1428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2017; 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.