Active NPI
Melissa Lynne Devries, PH.D.
- Psychologist
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7449978-2501
- Practice address
- 324 E 10TH Ave
Suite 200
Salt Lake City, UT 84103-2853 - Phone
- (801) 408-7500
- NPI assigned
- Apr 12, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 7449978-2501 | UT | Primary |
Addresses
Primary practice location
324 E 10TH Ave
Suite 200
Salt Lake City, UT 84103-2853
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 408-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12473 S Minuteman Dr
Draper, UT 84020-7870
Phone (801) 495-7970
2655 W 9000
West Jordan, UT 84088-8542
Phone (801) 568-9933
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients |
Locations
12473 S Minuteman Dr
Draper, UT 84020
Phone (801) 495-7900
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
324 Tenth Ave
Ste 200
Salt Lake City, UT 84103
Phone (801) 355-9951
2655 W 9000 S
West Jordan, UT 84088
Phone (801) 256-6343
5373 W Lake Park Blvd
West Valley City, UT 84120
Phone (801) 902-7940
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Clinic/Center
- Logan, UT
- NPI 1205963105
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489017600000",
"number": "1306136353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"telephone_number": "801-408-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 E 10TH AVE",
"address_2": "SUITE 200",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841032853",
"telephone_number": "801-408-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVRIES",
"first_name": "MELISSA",
"middle_name": "LYNNE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-12",
"last_updated": "2017-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "UT",
"license": "7449978-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.