Organization Active NPI

Allen Melvin MD PA

  • Adult Mental Health Clinic/Center
  • Charlotte, NC
National Provider Identifier
1235399015
Registry record updated Jun 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
31951 Issued in NC
Legal business name
ALLEN MELVIN MD PA
Practice address
3315 Springbank LN
Suite 302
Charlotte, NC 28226-3197
Phone
(704) 540-5566
Fax
(704) 540-5564
NPI assigned
Jun 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2008

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

Authorized official

Name
Jean Allen Melvin, M.D.
Title
Owner
Phone
(704) 540-5566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 31951 NC Primary

Addresses

Primary practice location

3315 Springbank LN
Suite 302
Charlotte, NC 28226-3197

Mailing address

3315 Springbank LN
Suite 302
Charlotte, NC 28226-3197
Phone (704) 540-5566

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213488000000",
    "number": "1235399015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 SPRINGBANK LN",
            "address_2": "SUITE 302",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263197",
            "telephone_number": "704-540-5566",
            "fax_number": "704-540-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 SPRINGBANK LN",
            "address_2": "SUITE 302",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263197",
            "telephone_number": "704-540-5566",
            "fax_number": "704-540-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN MELVIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-15",
        "last_updated": "2008-06-15",
        "status": "A",
        "authorized_official_last_name": "MELVIN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-540-5566",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "31951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.