Active NPI
Melissa Vandeyacht, APSW
- Social Worker
- Oshkosh, WI
National Provider Identifier
1518311992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 126751-121
- Practice address
- 220 Washington Ave
Oshkosh, WI 54901-5030 - Phone
- (920) 236-4700
- Fax
- (920) 236-1157
- NPI assigned
- Apr 21, 2016
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 126751-121 | WI | Primary |
Addresses
Primary practice location
220 Washington Ave
Oshkosh, WI 54901-5030
Mailing address
220 Washington Ave
Oshkosh, WI 54901-5030
Phone (920) 236-4700
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126751-121 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461542400000",
"number": "1518311992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 WASHINGTON AVE",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549015030",
"telephone_number": "920-236-4700",
"fax_number": "920-236-1157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 WASHINGTON AVE",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549015030",
"telephone_number": "920-236-4700",
"fax_number": "920-236-1157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDEYACHT",
"first_name": "MELISSA",
"credential": "APSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-21",
"last_updated": "2016-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "126751-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.