Active NPI
Melissa Strachan, PSY.D.
- Psychologist
- Saint Peters, MO
National Provider Identifier
1497724405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2002028008
- Practice address
- 1278 Jungermann Rd Ste E
Saint Peters, MO 63376-6964 - Phone
- (636) 486-6558
- Fax
- (636) 244-3084
- NPI assigned
- Mar 14, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2002028008 | MO | Primary |
Addresses
Primary practice location
1278 Jungermann Rd Ste E
Saint Peters, MO 63376-6964
Mailing address
1278 Jungermann Rd Ste E
Saint Peters, MO 63376-6964
Phone (636) 486-6558
Other practice location 1
58 Portwest Ct
Saint Charles, MO 63303-5985
Phone (636) 916-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 497291609 | Medicaid | MO |
Other names 1
- Dr. Melissa Kinser
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002028008 | MO | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melissa Strachan, Psy.D., LLC | Past | Accepting new patients | |
| David a. Lipsitz, PH.D., 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.
-
- Clinical Psychologist
- Saint Peters, MO
- NPI 1679066153
-
- Clinical Psychologist
- Saint Peters, MO
- NPI 1710294301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1497724405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1278 JUNGERMANN RD STE E",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633766964",
"telephone_number": "636-486-6558",
"fax_number": "636-244-3084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1278 JUNGERMANN RD STE E",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633766964",
"telephone_number": "636-486-6558",
"fax_number": "636-244-3084"
}
],
"practiceLocations": [
{
"address_1": "58 Portwest Ct",
"address_purpose": "LOCATION",
"city": "Saint Charles",
"state": "MO",
"postal_code": "633035985",
"country_code": "US",
"telephone_number": "636-916-5800",
"fax_number": "636-916-0146",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STRACHAN",
"first_name": "MELISSA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "2002028008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "497291609",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "KINSER",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.