Individual provider Active NPI

Charlotte R Melcher, PH.D

  • Health Service Psychologist
  • Lexington, KY
National Provider Identifier
1184773665
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
KY-0740 Issued in KY
Practice address
704 Spring Meadows Dr
Suite a
Lexington, KY 40504-3624
Phone
(859) 277-0667
Fax
(859) 223-0421
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X KY-0740 KY Primary
Counseling Psychologist 103TC1900X KY-0740 KY

Addresses

Primary practice location

704 Spring Meadows Dr
Suite a
Lexington, KY 40504-3624

Mailing address

4748 Scenicview Rd
Lexington, KY 40514-1441
Phone (859) 223-1141

Other identifiers 1

IdentifierTypeStateIssuer
000000068811OtherKYANTHEM PROVIDER NUMBER

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
KY-0740KYMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus on Relationships, Inc. Health Service PastSince Jan 1, 2007 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1184773665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4748 SCENICVIEW RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141441",
            "telephone_number": "859-223-1141",
            "fax_number": "859-223-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 SPRING MEADOWS DR",
            "address_2": "SUITE A",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043624",
            "telephone_number": "859-277-0667",
            "fax_number": "859-223-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELCHER",
        "first_name": "CHARLOTTE",
        "middle_name": "R",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "KY",
            "license": "KY-0740",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KY",
            "license": "KY-0740",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000068811",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.