Active NPI
Stephen Edward O'Connell Melka, PH.D.
- Clinical Psychologist
- Milwaukee, WI
National Provider Identifier
1295071017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3066-57
- Practice address
- 5000 W National Ave
Dom123
Milwaukee, WI 53295-0001 - Phone
- (414) 384-2000
- Fax
- (414) 382-5101
- NPI assigned
- Dec 26, 2012
- Sex
- Male
- 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 | 3066-57 | WI | Primary |
Addresses
Primary practice location
5000 W National Ave
Dom123
Milwaukee, WI 53295-0001
Mailing address
5000 W National Ave
Dom123
Milwaukee, WI 53295-0001
Phone (414) 384-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3066-57 | WI | MD | Clinical Psychologist |
| 3066 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356480000000",
"number": "1295071017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 W NATIONAL AVE",
"address_2": "DOM123",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532950001",
"telephone_number": "414-384-2000",
"fax_number": "414-382-5101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 W NATIONAL AVE",
"address_2": "DOM123",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532950001",
"telephone_number": "414-384-2000",
"fax_number": "414-382-5101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELKA",
"first_name": "STEPHEN",
"middle_name": "EDWARD O'CONNELL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-26",
"last_updated": "2012-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "3066-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.