Melanie Yard Gregg, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

34333 Issued in TX

Practice address

3100 Weslayan St Ste B
Houston, TX 77027-5727

Phone

(713) 408-2414

NPI assigned

Feb 14, 2007

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1417090010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35684",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772355684",
            "telephone_number": "713-408-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 WESLAYAN ST STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275727",
            "telephone_number": "713-408-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "MELANIE",
        "middle_name": "YARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "34333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "047F7",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000984",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryce Adam Gregg, MSN, APRN, FNP-C
• Frederick P Gregg, M.D.
• James Parker Gregg, MD
• Justin Gregg, M.D.
• Lucile Parker Gregg, M.D.
• Victoria Gregg, MD
• Shannon McAllister Gregorek, NP-C
• Igor Darko Gregoric, M.D.
• Gregorio Healthcare Systems LLC
• Giorgio Gregorio, LMT

• Clinical Child & Adolescent Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Child & Adolescent Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.