Active NPI
Michelle L Melton, PSY.D
- Clinical Psychologist
- Marion, VA
National Provider Identifier
1144506478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810004346
- Practice address
- 340 Bagley Cir
Marion, VA 24354-3126 - Phone
- (276) 783-0833
- NPI assigned
- Nov 1, 2011
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810004346 | VA | Primary |
Addresses
Primary practice location
340 Bagley Cir
Marion, VA 24354-3126
Mailing address
340 Bagley Cir
Marion, VA 24354-3126
Phone (276) 783-0833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810004346 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1144506478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 BAGLEY CIR",
"city": "MARION",
"state": "VA",
"postal_code": "243543126",
"telephone_number": "276-783-0833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 BAGLEY CIR",
"city": "MARION",
"state": "VA",
"postal_code": "243543126",
"telephone_number": "276-783-0833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "MICHELLE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-01",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810004346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, VA
- Anna Meadows
- Med-Trans Corporation
- Med-Trip Express LLC
- Medexpress Urgent Care, PC - Virginia (MedExpress Urgent Care - Marion, N Main St)
- Mel Leaman Free Clinic at Emory & Henry College, Inc.
- Brian K Miller, D.O.
- Kendra Miller, CPNP-PC
- Monahans Dialysis LLC (Royal Oaks Dialysis)
- Andrew P Mone, MD
- Emily Moore
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.