Individual provider Active NPI

Melisa Joanne Zehr

  • Psychologist
  • Anderson, IN
National Provider Identifier
1336399823
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20042099A Issued in IN
Practice address
2210 Jackson St
Anderson, IN 46016-4363
Phone
(765) 683-3118
NPI assigned
Sep 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 20042099A IN Primary

Addresses

Primary practice location

2210 Jackson St
Anderson, IN 46016-4363

Mailing address

2210 Jackson St
Anderson, IN 46016-4363

Other identifiers 1

IdentifierTypeStateIssuer
200915920MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melisa.zehr.1@7598.direct.athenahealth.com ST. VINCENT ANDERSON REGIONAL HOSPITAL, INC.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20081006000682 IN Practitioner - Clinical Psychologist 1658449400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1916 Jackson St
Anderson, IN 46016-4336
Phone (765) 683-3149

1931 Brown St
Anderson, IN 46016-4206
Phone (765) 646-8247

2015 Jackson St
Anderson, IN 46016-4337
Phone (765) 646-8179

2020 Meridian St
Anderson, IN 46016-4343

2020 Meridian St
Suite 100
Anderson, IN 46016-4338
Phone (765) 646-8509

2210 Jackson St
Anderson, IN 46016-4363
Phone (765) 644-1414

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20042099AINMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Anderson Regional Hospital, Inc. Psychologist CurrentSince Feb 5, 2013 Accepting new patients
St. Vincent Anderson Regional Hospital, Inc. CurrentSince Feb 5, 2013 Accepting new patients

Locations

2210 Jackson St
Anderson, IN 46016
Phone (765) 644-1414

Interoperability endpoints

  • Direct secure messaging: melisa.zehr.1@7598.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1336399823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 JACKSON ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 JACKSON ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164363",
            "telephone_number": "765-683-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEHR",
        "first_name": "MELISA",
        "middle_name": "JOANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20042099A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200915920",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melisa.zehr.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "ST. VINCENT ANDERSON REGIONAL HOSPITAL, INC.",
            "address_1": "2210 Jackson St",
            "city": "Anderson",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460164363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.