Melissa Holly Prevo, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 7425 Issued in FL

Practice address

8415 Bayshore Blvd.
6 Mdos/Sgoh Mental Health
Macdill AFB, FL 33621-1607

Phone

(813) 827-9170

NPI assigned

Feb 5, 2007

Last updated

Jul 23, 2008By the provider in NPPES

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

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.

• 6 Medical Group

  • Military Hospital
  • Tampa, FL
  • NPI 1164675070
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1487793998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 BAYSHORE BLVD.",
            "address_2": "6 MDOS/SGOH MENTAL HEALTH",
            "city": "MACDILL AFB",
            "state": "FL",
            "postal_code": "336211607",
            "telephone_number": "813-827-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 BAYSHORE BLVD.",
            "address_2": "6 MDOS/SGOH MENTAL HEALTH",
            "city": "MACDILL AFB",
            "state": "FL",
            "postal_code": "336211607",
            "telephone_number": "813-827-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVO",
        "first_name": "MELISSA",
        "middle_name": "HOLLY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 7425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Francis Morelli Jr., D.M.D
• Emmanuel D Naval, M.D.
• Melinda Wing-Man NG, MD
• Marina Perez, PA-C
• Christopher D. Poole, IDMT
• Sara M. Ramirez, LICSW
• Barbara E. Shanholtzer, RDH
• David Matthew Smith, DO, MPH
• Jacqueline Pollock Vanmoerkerque, P.T., DPT

• Clinical Psychologist in Macdill AFB, FL
• Providers in Macdill AFB, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.