Active NPI
Melissa E Morin, LICSW
- Clinical Child & Adolescent Psychologist
- Claremont, NH
National Provider Identifier
1386719698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 317
- Practice address
- 18 Bailey Ave
Claremont Child & Family Ctr
Claremont, NH 03743 - Phone
- (603) 542-5449
- Fax
- (603) 542-5455
- NPI assigned
- Nov 21, 2006
- 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 Child & Adolescent Psychologist | 103TC2200X | 317 | NH | Primary |
Addresses
Primary practice location
18 Bailey Ave
Claremont Child & Family Ctr
Claremont, NH 03743
Mailing address
9 Hanover St
Suite 2 West Central Services Inc
Lebanon, NH 03766
Phone (603) 448-0126
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 317 | NH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Central Services, Inc. | Past | Accepting new patients | |
| West Central Services, 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.
-
- Case Manager/Care Coordinator
- Claremont, NH
- NPI 1013377571
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lebanon, NH
- NPI 1174635684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386719698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 HANOVER ST",
"address_2": "SUITE 2 WEST CENTRAL SERVICES INC",
"city": "LEBANON",
"state": "NH",
"postal_code": "03766",
"telephone_number": "603-448-0126",
"fax_number": "603-448-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 BAILEY AVE",
"address_2": "CLAREMONT CHILD & FAMILY CTR",
"city": "CLAREMONT",
"state": "NH",
"postal_code": "03743",
"telephone_number": "603-542-5449",
"fax_number": "603-542-5455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORIN",
"first_name": "MELISSA",
"middle_name": "E",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NH",
"license": "317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Claremont, NH
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.