Melanie May Longworth-Beattie, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301012761 Issued in MI

Practice address

116 Market St
Mount Clemens, MI 48043-5674

Phone

(586) 465-4444

Fax

(586) 783-2761

NPI assigned

Jun 20, 2006

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

Other identifiers 1

Other names 1

• Dr. Melanie May Longworth Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Perceptions Counseling Services, P.C.Group PAC ID 4183633753, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Perceptions Counseling Services, P.C.

  • Community/Behavioral Health Agency
  • Mount Clemens, MI
  • NPI 1043258734
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1295771319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MARKET ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435674",
            "telephone_number": "586-465-4444",
            "fax_number": "586-783-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MARKET ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435674",
            "telephone_number": "586-465-4444",
            "fax_number": "586-783-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGWORTH-BEATTIE",
        "first_name": "MELANIE",
        "middle_name": "MAY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL NUMBER",
            "identifier": "P108973050",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "LONGWORTH",
            "middle_name": "MAY",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia Lockwood
• Joyce Michele Logan
• Timothy David Logan, D.O.
• Kevin Paul Lokar, M.D.
• Gino Michael Lombardo, DO
• Andrew Loosvelt
• Kathryn Loren, LMSW
• Megan Marissa Lorenzano, DO
• Louis Kendrick
• Marne Louters, DO

• Clinical Psychologist in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.