Melissa Liddle, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

08205 Issued in OH

Practice address

3101 Dixie Hwy
Hamilton, OH 45015-1653

Phone

(513) 737-3400

NPI assigned

Apr 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Heart Center Psychology LLC

  • Clinical Psychologist
  • Montgomery, OH
  • NPI 1518713940
  NPD
• St. Aloysius Orphanage Cambridge

  • Community/Behavioral Health Agency
  • Hamilton, OH
  • NPI 1275920472
  NPD (past)

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1447748256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 MONTGOMERY RD STE 17A",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452427794",
            "telephone_number": "513-589-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 DIXIE HWY",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450151653",
            "telephone_number": "513-737-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDDLE",
        "first_name": "MELISSA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "08205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ruth Leyendecker, NP
• Michele Lynn Leyrer, M.S. CCC-SLP
• Liberty Care Agency, LLC
• Liberty Township Trustees
• Kae D Lichen
• Lifeline Institutional Pharmacy
• Lifesource, LLC.
• Lifespan, Inc
• Lifespan, Inc
• Amber Lightle

• Clinical Psychologist in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.