Active NPI
Melinda K. Henline, Ma, PLLC
- Clinical Psychologist
- St. Albans, WV
National Provider Identifier
1104291608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1106
- Legal business name
- MELINDA K. HENLINE, MA, PLLC
- Practice address
- 200 Kanawha Terrrace
Suite 103
St. Albans, WV 25177 - Phone
- (304) 727-1302
- NPI assigned
- Dec 9, 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
- Melinda Kay Henline, M.A.
- Title
- Owner
- Phone
- (304) 727-1302
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1106 | WV | Primary |
Addresses
Primary practice location
200 Kanawha Terrrace
Suite 103
St. Albans, WV 25177
Mailing address
200 Kanawha Ter
Suite 103
Saint Albans, WV 25177-2867
Phone (304) 727-1302
National Provider Directory
National Provider DirectoryLocations
200 Kanawha Ter
Ste 103
Saint Albans, WV 25177
Phone (304) 727-1302
511 6th Ave
Saint Albans, WV 25177
Phone (304) 722-3386
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Saint Albans, WV
- NPI 1942207105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449619200000",
"number": "1104291608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 KANAWHA TER",
"address_2": "SUITE 103",
"city": "SAINT ALBANS",
"state": "WV",
"postal_code": "251772867",
"telephone_number": "304-727-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 KANAWHA TERRRACE",
"address_2": "SUITE 103",
"city": "ST. ALBANS",
"state": "WV",
"postal_code": "25177",
"telephone_number": "304-727-1302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELINDA K. HENLINE, MA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-09",
"last_updated": "2015-12-09",
"status": "A",
"authorized_official_last_name": "HENLINE",
"authorized_official_first_name": "MELINDA",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-727-1302",
"authorized_official_credential": "M.A."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "WV",
"license": "1106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St. Albans, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.