Active NPI
Melinda Kay Henline, M.A.
- Clinical Psychologist
- Saint Albans, WV
National Provider Identifier
1205227121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1106
- Practice address
- 200 Kanawha Ter
Suite 103
Saint Albans, WV 25177-2867 - Phone
- (304) 727-1302
- NPI assigned
- Feb 13, 2015
- 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 | 1106 | WV | Primary |
Addresses
Primary practice location
200 Kanawha Ter
Suite 103
Saint Albans, WV 25177-2867
Mailing address
886 Lynn Brooke PL
Charleston, WV 25312-6412
Phone (304) 744-8183
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1106 | WV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mareda L. Reynolds Ma PLLC | Clinical | Past | 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.
-
- Clinical Psychologist
- Saint Albans, WV
- NPI 1114027653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423785600000",
"number": "1205227121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "886 LYNN BROOKE PL",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253126412",
"telephone_number": "304-744-8183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 KANAWHA TER",
"address_2": "SUITE 103",
"city": "SAINT ALBANS",
"state": "WV",
"postal_code": "251772867",
"telephone_number": "304-727-1302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENLINE",
"first_name": "MELINDA",
"middle_name": "KAY",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-13",
"last_updated": "2015-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WV",
"license": "1106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Albans, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.