Active NPI
Melanie L Horn, PHD
- Psychologist
- Austin, TX
National Provider Identifier
1134219827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 25339
- Practice address
- 317 Ranch Rd 620 So
Ste 302a
Austin, TX 78734 - Phone
- (512) 261-6005
- Fax
- (512) 261-5332
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 25339 | TX | Primary |
Addresses
Primary practice location
317 Ranch Rd 620 So
Ste 302a
Austin, TX 78734
Mailing address
115 Copperleaf Rd
Austin, TX 78734
Phone (512) 261-6005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050104000653 | TX | Practitioner - Clinical Psychologist | 0648228908 | Practice locations: Lakeway, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
317 Ranch Rd 620
Suite 302a
Lakeway, TX 78734-4727
Phone (512) 261-6005
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297641600000",
"number": "1134219827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 COPPERLEAF RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78734",
"telephone_number": "512-261-6005",
"fax_number": "512-261-5332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 RANCH RD 620 SO",
"address_2": "STE 302A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78734",
"telephone_number": "512-261-6005",
"fax_number": "512-261-5332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORN",
"first_name": "MELANIE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2011-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "25339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.