Melissa Erin Trevathan, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

5209 York Rd Ste B12
Baltimore, MD 21212-4245

Phone

(410) 532-2476

NPI assigned

Aug 22, 2011

Last updated

Aug 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Erin Trevathan-Minnis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Women's Growth Center

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1720480163
  NPD (past)

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1376823369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E LOMBARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212312021",
            "telephone_number": "281-923-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 YORK RD STE B12",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124245",
            "telephone_number": "410-532-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVATHAN",
        "first_name": "MELISSA",
        "middle_name": "ERIN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "TREVATHAN-MINNIS",
            "middle_name": "ERIN",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kiana Rene Trent, DPM
• Maria Trent, M.D., M.P.H.
• Terrell Trent, OTR/L
• Tretton Optical
• Arnold Tretton III
• Calleen Trevenen
• Brittany Lynn Trexler, LPC
• Treyway Companion Care 2.0
• Treyway Multi Treatment Services
• Treyway Multi Treatment Services

• Counseling Psychologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Counseling Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.