Individual provider Active NPI

Melissa Ann Kelley, MD

  • Child & Adolescent Psychiatry Physician
  • Washington, DC
National Provider Identifier
1336702018
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD500003385 Issued in DC
Practice address
6833 4TH St NW
Washington, DC 20012-1901
Phone
(202) 729-3300
NPI assigned
Apr 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD500003385 DC
Psychiatry Physician 2084P0800X MD500003385 DC
Child & Adolescent Psychiatry Physician 2084P0804X MD500003385 DC Primary

Addresses

Primary practice location

6833 4TH St NW
Washington, DC 20012-1901

Mailing address

6833 4TH St NW
Washington, DC 20012-1901

Other practice location 1

111 Michigan Ave NW
Washington, DC 20010-2916
Phone (888) 884-2327

Other practice location 2

650 Pennsylvania Ave SE
Washington, DC 20003-4318
Phone (202) 833-4543

Other practice location 3

2021 K St NW Ste 800
Washington, DC 20006-1008
Phone (202) 833-4543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119004422 DC Practitioner - PsychiatryPractitioner - Pediatric Medicine 5193056570 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Current Accepting new patients
Children'S Hospital Pediatrics CurrentSince Oct 7, 2024 Accepting new patients
Children'S Hospital CurrentSince Oct 7, 2024 Accepting new patients
Children'S Pediatricians & Associates, LLC Pediatrics Past Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

6833 4th St NW
Washington, DC 20012
Phone (202) 476-5341

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1336702018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6833 4TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6833 4TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121901",
            "telephone_number": "202-729-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Michigan Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200102916",
            "country_code": "US",
            "telephone_number": "888-884-2327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Pennsylvania Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200034318",
            "country_code": "US",
            "telephone_number": "202-833-4543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2021 K St NW Ste 800",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200061008",
            "country_code": "US",
            "telephone_number": "202-833-4543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD500003385",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD500003385",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "DC",
            "license": "MD500003385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.