Theresa Ellen Melloh, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

616 Issued in SC

Practice address

1898 Calhoun St
Building 5
Columbia, SC 29201-2649

Phone

(803) 233-9174

Fax

(803) 233-2814

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tmelloh382248@direct.ghs.myhfn.org

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.

• University Specialty Clinics - Neuropsychiatry and Behavioral Science

  • Psychiatry Physician
  • Columbia, SC
  • NPI 1821020116
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1295834109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1898 CALHOUN ST",
            "address_2": "BUILDING 5",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012649",
            "telephone_number": "803-807-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1898 CALHOUN ST",
            "address_2": "BUILDING 5",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012649",
            "telephone_number": "803-233-9174",
            "fax_number": "803-233-2814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 Harden Street Ext Ste 141",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036894",
            "country_code": "US",
            "telephone_number": "803-434-4300",
            "fax_number": "803-434-4351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELLOH",
        "first_name": "THERESA",
        "middle_name": "ELLEN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa E. Boylan, M.D., LLC
• Melissa H Kannaday MD LLC
• Melissa Mellette Counseling and Consulting, LLC
• Melissa Mellette
• Larry B. Mellick, MD
• Jennifer Melonas, MSP, CCC-SLP
• Natalia Nicole Meloro, APRN
• Melton R Stuckey
• Andrea Melton, ATC
• Bryan Melton, LISW

• Clinical Psychologist in Columbia, SC
• Providers in Columbia, SC by specialty
• Clinical Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.