Active NPI
Gerald Anthony Melchiode, M.D.
- Psychiatry Physician
- West Bloomfield, MI
National Provider Identifier
1376783894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- F7843
- Practice address
- 6820 Leytonstone Blvd
West Bloomfield, MI 48322-1242 - Phone
- (214) 288-3220
- Fax
- (248) 432-7361
- NPI assigned
- Feb 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | F7843 | TX | Primary |
Addresses
Primary practice location
6820 Leytonstone Blvd
West Bloomfield, MI 48322-1242
Mailing address
6820 Leytonstone Blvd
West Bloomfield, MI 48322-1242
Phone (214) 288-3220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F7843 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1376783894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6820 LEYTONSTONE BLVD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483221242",
"telephone_number": "214-288-3220",
"fax_number": "248-432-7361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6820 LEYTONSTONE BLVD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483221242",
"telephone_number": "214-288-3220",
"fax_number": "248-432-7361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELCHIODE",
"first_name": "GERALD",
"middle_name": "ANTHONY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-23",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "F7843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bloomfield, MI
- Medical Rehabilitation Physicians PLC (Michigan Spine and Pain)
- Medical Rehabilitation Physicians PLC (Michigan Spine and Pain)
- Megan E Stowers DDS Ms PLC
- Andrea Meinert, PT, DPT
- Laura Mejeur
- Melissa McBrien, M.D., P.L.L.C.
- Sandra Mellin, CSW
- Melvin F Cohen M.D. PC
- Risa Rae Mendelson, MA, LLPC, COTA
- Mary C Mentag, CNM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.