Active NPI
Melinda Carlson, PSY.D.
- Clinical Psychologist
- Silver Spring, MD
National Provider Identifier
1154723963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY1000974
- Practice address
- 8607 2ND Ave
Suite 506a
Silver Spring, MD 20910-3355 - Phone
- (301) 589-1898
- NPI assigned
- Sep 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY1000974 | DC | Primary |
| Clinical Psychologist | 103TC0700X | 05102 | MD |
Addresses
Primary practice location
8607 2ND Ave
Suite 506a
Silver Spring, MD 20910-3355
Mailing address
8607 2ND Ave
Suite 506a
Silver Spring, MD 20910-3355
Phone (301) 589-1898
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 |
|---|---|---|---|
| PSY1000974 | DC | MD | Clinical Psychologist |
| 05102 | MD | MD | Speech-Language Pathologist |
Interoperability endpoints
- melinda.carlson@ahm.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1154723963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8607 2ND AVE",
"address_2": "SUITE 506A",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103355",
"telephone_number": "301-589-1898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8607 2ND AVE",
"address_2": "SUITE 506A",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103355",
"telephone_number": "301-589-1898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "MELINDA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-23",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY1000974",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "05102",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.