Jennifer E Melerski, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004283 Issued in VA

Practice address

608 Everglades Dr
Mebane, NC 27302-7167

Phone

(336) 264-4827

Fax

(919) 869-2228

NPI assigned

Mar 6, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614988800000",
    "number": "1154916690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1600",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273021600",
            "telephone_number": "336-264-4827",
            "fax_number": "919-869-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 EVERGLADES DR",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273027167",
            "telephone_number": "336-264-4827",
            "fax_number": "919-869-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELERSKI",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-06",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.melerski@drjennifermelerski.com",
            "affiliation": "N",
            "endpointDescription": "Hushmail email account",
            "address_1": "608 Everglades Dr",
            "city": "Mebane",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273027167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mebane Drug Store Inc
• Mebane Family Chiropractic, P.C.
• Mebane Medical Clinic PA
• Mebane Ridge Assisted Living
• Medisolutions, Inc.
• Ralph Kojo Mensah, DDS
• Traci Avent Mims, LPTA
• Mind Nourishment Counseling, PLLC
• David Michael Modlin, D.D.S.
• Gregory John Moore, LCMHC, LCAS

• Clinical Psychologist in Mebane, NC
• Providers in Mebane, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; 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.