Active NPI
Melissa Celia Dillon, PH.D.
- Clinical Psychologist
- Irving, TX
National Provider Identifier
1265903363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 31523
- Practice address
- 7701 Las Colinas RDG Ste 110
Irving, TX 75063-7552 - Phone
- (214) 574-7848
- Fax
- (214) 496-0346
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 31523 | TX | Primary |
Addresses
Primary practice location
7701 Las Colinas RDG Ste 110
Irving, TX 75063-7552
Mailing address
7308 Blazer Dr
Plano, TX 75025-2308
Phone (469) 766-4549
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31523 | TX | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544918400000",
"number": "1265903363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7308 BLAZER DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750252308",
"telephone_number": "469-766-4549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7701 LAS COLINAS RDG STE 110",
"city": "IRVING",
"state": "TX",
"postal_code": "750637552",
"telephone_number": "214-574-7848",
"fax_number": "214-496-0346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "MELISSA",
"middle_name": "CELIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2018-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "31523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.