Carol Mellen, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

787 Issued in AZ

Practice address

4300 N Miller Rd Ste 110
Scottsdale, AZ 85251-3638

Phone

(480) 994-3601

Fax

(480) 994-1879

NPI assigned

May 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Carol Mellen-Sysel Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Doctor of Philosophy

State licenses

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.

• Catherine S. O'Connell, PC

  • Clinical Neuropsychologist
  • Phoenix, AZ
  • NPI 1912048422
  NPD (past)
• Desert Vista Neuropsychological Specialists, PLLC

  • Clinical Neuropsychologist
  • Phoenix, AZ
  • NPI 1821283342
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1295946028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N MILLER RD",
            "address_2": "141A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513619",
            "telephone_number": "480-994-3601",
            "fax_number": "480-994-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 N MILLER RD STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513638",
            "telephone_number": "480-994-3601",
            "fax_number": "480-994-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLEN",
        "first_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "787",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "AZ",
            "license": "787",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "MELLEN-SYSEL",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ryan Robert Melillo, D.C.
• Shayleen Marie Melillo, APRN
• Daniel A Meline, MD
• Violetta Melkum, FNP-C
• Pete Nicholas Mellas, DMD, MS
• Courtney Elizabeth Mellen, APRN-C
• Jay Robert Mellen, M.D.
• Judith Ann Mello, M.D.
• Lesley Mellor, M.S. CCC-SP
• Raun Melmed, MD

• Clinical Psychologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.