Katherine a Melchior PHD LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301014731 Issued in MI

Legal business name

KATHERINE A MELCHIOR PHD LLC

Practice address

19855 Outer Dr
Dearborn, MI 48124-2022

Phone

(734) 589-3048

NPI assigned

Oct 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Katherine Alison Melchior, PHDNPI 1528482155

Title

Clinical Psychologist

Phone

(734) 589-3048

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Alison Melchior, PHD

  • Clinical Psychologist
  • Livonia, MI
  • NPI 1528482155
  Medicare reassignment NPD Authorized official
• Derrich B. Woehle, PHD

  • Clinical Psychologist
  • Plymouth, MI
  • NPI 1922079136
  NPD (past)

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1316458649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 MUMFORD RD",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481699309",
            "telephone_number": "734-589-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19855 OUTER DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242022",
            "telephone_number": "734-589-3048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17199 N Laurel Park Dr Ste 306",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "48152",
            "country_code": "US",
            "telephone_number": "734-589-3048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATHERINE A MELCHIOR PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "MELCHIOR",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ALISON",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "734-589-3048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301014731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nada Kassem
• Nour Kassir
• Grace Kassis
• Fadi Kathawa
• Heather M Kathawa, PAC
• Kathryn Miller PHD PC
• Vatsala Katragadda, MD
• Michael Maher Kattula, DO
• Samantha Tillie Katz, MD
• Gerald H Katzman, M.D.

• Psychologist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.