NPIMap

Organization Active NPI

Charles Melville, PH.D., PC

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1346387248
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY000318 Issued in GA
Legal business name
CHARLES MELVILLE, PH.D., PC
Practice address
25B Lenox Pointe NE
Atlanta, GA 30324-3172
Phone
(404) 266-8881
Fax
(404) 266-8687
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles H Melville, PH.D.NPI 1972640860
Title
Assistant
Phone
(404) 266-8881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY000318 GA Primary

Addresses

Primary practice location

25B Lenox Pointe NE
Atlanta, GA 30324-3172

Mailing address

25B Lenox Pointe NE
Atlanta, GA 30324-3172
Phone (404) 266-8881

National Provider Directory

National Provider Directory

Locations

25 Lenox Pointe NE
Ste B
Atlanta, GA 30324
Phone (404) 266-0962

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346387248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25B LENOX POINTE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243172",
            "telephone_number": "404-266-8881",
            "fax_number": "404-266-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25B LENOX POINTE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243172",
            "telephone_number": "404-266-8881",
            "fax_number": "404-266-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES MELVILLE, PH.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MELVILLE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "404-266-8881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY000318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.