Melissa Mahcalani Paller, LMSC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW26695 Issued in ID

Practice address

2007 S Plaza
Suite 1
Emmett, ID 83617

Phone

(208) 365-5445

Fax

(208) 365-6226

NPI assigned

Oct 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NV

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 Social Worker

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Lisa a Durette MD PLLCGroup PAC ID 6103927280, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lisa a Durette MD PLLC

  dba Healthy Minds

  • Child & Adolescent Psychiatry Physician
  • Las Vegas, NV
  • NPI 1669679205
  Medicare reassignment Care Compare group
• Stark Medicine Khurana Jeider PLLC

  dba Nevada Mental Health

  • Child & Adolescent Psychiatry Physician
  • Las Vegas, NV
  • NPI 1053880856
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336233485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 S PLAZA",
            "address_2": "SUITE 1",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "83617",
            "telephone_number": "208-365-5445",
            "fax_number": "208-365-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 S PLAZA",
            "address_2": "SUITE 1",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "83617",
            "telephone_number": "208-365-5445",
            "fax_number": "208-365-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLER",
        "first_name": "MELISSA",
        "middle_name": "MAHCALANI",
        "name_prefix": "Ms.",
        "credential": "LMSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW26695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Life Transportation LLC
• Nancy Susanne Nickerson, PT
• Novitas Academy
• Nutrition Counseling Valerie Lawrence
• Cory Ondler, D.O.
• Peterson Orthodontics PLLC
• Kelsey Peterson, DMD
• Petrie White Family Medicine of Idaho (Emmett Family Medicine and Direct Primary Care)
• Jennifer Petrie, MD
• Daniel Michael Pewe, DC

• Social Worker in Emmett, ID
• Providers in Emmett, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.