Active NPI
Melinda Ann Thiam, MD
- Psychiatry Physician
- Tacoma, WA
National Provider Identifier
1225291339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 40020
- Practice address
- Madigan Army Medical Ctr
Tacoma, WA 98431-0001 - Phone
- (253) 968-0770
- NPI assigned
- Jul 8, 2008
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 40020 | SC | Primary |
Addresses
Primary practice location
Madigan Army Medical Ctr
Tacoma, WA 98431-0001
Mailing address
1911 Gadsden St Ste 101
Columbia, SC 29201-6400
Phone (803) 851-0651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40080 | Other | SC | MEDICAL LICENSE |
Other names 1
- Melinda Ann Bjerstedt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40020 | SC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Dept of Mental Health Accounting Office | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Highway to Hope Tri-County Primary Care
- Primary Care Nurse Practitioner
- Bennettsville, SC
- NPI 1295332690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1225291339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 GADSDEN ST STE 101",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292016400",
"telephone_number": "803-851-0651",
"fax_number": "213-203-2258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CTR",
"city": "TACOMA",
"state": "WA",
"postal_code": "984310001",
"telephone_number": "253-968-0770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIAM",
"first_name": "MELINDA",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-08",
"last_updated": "2023-03-07",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "40020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "40080",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELINDA",
"last_name": "BJERSTEDT",
"middle_name": "ANN",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
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- Therapy Management Services, PLLC (Tacoma Central Physical Therapy)
- Thi T. Nguyen D.M.D., PLLC
- Logen Frey Thielke, CCC-SLP
- Lori Thiemann, PH.D.
- Julie Thies
- Abram Robert Thiessen, MD
- Krystal P Thiessen
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.