Individual provider Active NPI

Fred Melowsky, PH.D.

  • Clinical Psychologist
  • Cincinnati, OH
National Provider Identifier
1366586745
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2817 Issued in OH
Practice address
26 E Hollister St
Cincinnati, OH 45219-1704
Phone
(513) 621-5001
Fax
(513) 621-5008
NPI assigned
Feb 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2817 OH Primary

Addresses

Primary practice location

26 E Hollister St
Cincinnati, OH 45219-1704

Mailing address

26 E Hollister St
Cincinnati, OH 45219-1704
Phone (513) 621-5001

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

LicenseStateTypeSpecialty
2817OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fred Melowsky, PHD, Inc Clinical Past Accepting new patients
Tina Kaminsky, PH.D., Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366586745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 E HOLLISTER ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191704",
            "telephone_number": "513-621-5001",
            "fax_number": "513-621-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E HOLLISTER ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191704",
            "telephone_number": "513-621-5001",
            "fax_number": "513-621-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELOWSKY",
        "first_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "2817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

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.

Verify at the official NPI Registry.