Organization Active NPI

Melinda K. Henline, Ma, PLLC

  • Clinical Psychologist
  • St. Albans, WV
National Provider Identifier
1104291608
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1106 Issued in WV
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

Updated by the provider on Dec 9, 2015

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.