Melton Telepsychiatry Services

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MELTON TELEPSYCHIATRY SERVICES

Practice address

6181 Old Millington Rd
Millington, TN 38053-7439

Phone

(901) 800-9159

Fax

(877) 800-9150

NPI assigned

Aug 11, 2022

Organization subpart

No

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

Authorized official

Name

Lashelle Renee Melton, PMHNP-BCNPI 1053878926

Title

Owner

Phone

(901) 212-4314

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lashelle Renee Melton, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Arlington, TN
  • NPI 1053878926
  Medicare reassignment NPD Authorized official
• Glenda Pulliam, A-GNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, NC
  • NPI 1952871055
  NPD (past)

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1164150751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6181 OLD MILLINGTON RD",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380537439",
            "telephone_number": "901-800-9159",
            "fax_number": "877-800-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6181 OLD MILLINGTON RD",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380537439",
            "telephone_number": "901-800-9159",
            "fax_number": "877-800-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELTON TELEPSYCHIATRY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "LASHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-212-4314",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leellon Louise Martin, NP
• Mary I Cates Landsee
• Kathy L McClain, DPH
• Geraldine Webber McCoy, MSN, APRN, FNP-C
• William L Medlock, HIPAA TAXONOMY 246Z0
• Memphis Vamc
• Nadia Menard, PT
• Mid South Wellness Center, Inc
• Tina Rena Miller, MSN APRN NP-C
• Millington Family Medicine, Inc.

• Psychiatry Physician in Millington, TN
• Providers in Millington, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.