Individual provider Active NPI

Melissa Strachan, PSY.D.

  • Psychologist
  • Saint Peters, MO
National Provider Identifier
1497724405
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2002028008 Issued in MO
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

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
497291609MedicaidMO

Other names 1

  • Dr. Melissa Kinser Former name

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

LicenseStateTypeSpecialty
2002028008MOMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Strachan, Psy.D., LLC Past Accepting new patients
David a. Lipsitz, PH.D., Inc PastSince Nov 1, 2010 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.

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.

Verify at the official NPI Registry.