Melissa Graves Petry Melissa

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4410 Executive Blvd
Fort Wayne, IN 46808-1135

Phone

(888) 515-1793

NPI assigned

May 14, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Springhealth Integrated Care, Inc.

  • Community/Behavioral Health Agency
  • Indianapolis, IN
  • NPI 1871906917
  NPD (past)

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1275324832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11585 S 540 E",
            "city": "FERDINAND",
            "state": "IN",
            "postal_code": "475329463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 EXECUTIVE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468081135",
            "telephone_number": "888-515-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES PETRY MELISSA",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Marie Grasberger, PHARMD
• Kayleen M Grashoff, NP
• Cheryl Amanda Gratz, LSW
• Melissa Gratz, PHARMD
• Lucas Alan Gravelyn, CRNA
• Amanda R Graves
• Charles Bevaun Graves
• Douglas L Gray, MD
• Ganit Anna Gray, LCSW
• Kathleen Gray

• Behavior Technician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.