Active NPI
Gail Melanson, PHD
- Clinical Psychologist
- Norwalk, CT
National Provider Identifier
1346457439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 002200
- Practice address
- 100 East Avenue
Mid Fairfield Child Guidance Center
Norwalk, CT 06851 - Phone
- (203) 299-1315
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 002200 | CT | Primary |
Addresses
Primary practice location
100 East Avenue
Mid Fairfield Child Guidance Center
Norwalk, CT 06851
Mailing address
100 East Avenue
Mid Fairfield Child Guidance Center
Norwalk, CT 06851
Phone (203) 299-1315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002200 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Fairfield Child Guidance Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Child Guidance Center of Mid-Fairfield Center
- Community/Behavioral Health Agency
- Norwalk, CT
- NPI 1376757872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346457439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 EAST AVENUE",
"address_2": "MID FAIRFIELD CHILD GUIDANCE CENTER",
"city": "NORWALK",
"state": "CT",
"postal_code": "06851",
"telephone_number": "203-299-1315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EAST AVENUE",
"address_2": "MID FAIRFIELD CHILD GUIDANCE CENTER",
"city": "NORWALK",
"state": "CT",
"postal_code": "06851",
"telephone_number": "203-299-1315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELANSON",
"first_name": "GAIL",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "002200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.