Active NPI
Irene A. Melonas, PH.D.
- Psychologist
- Merrill, WI
National Provider Identifier
1528089109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2136-057
- Practice address
- 120 S Mill St
Merrill, WI 54452-2534 - Phone
- (715) 536-4440
- Fax
- (715) 536-2736
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 2136-057 | WI | Primary |
Addresses
Primary practice location
120 S Mill St
Merrill, WI 54452-2534
Mailing address
PO Box 146
120 S. Mill St.
Merrill, WI 54452-0146
Phone (715) 536-4440
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2136-057 | WI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melonas Counseling Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- Merrill, WI
- NPI 1689695264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528089109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 146",
"address_2": "120 S. MILL ST.",
"city": "MERRILL",
"state": "WI",
"postal_code": "544520146",
"telephone_number": "715-536-4440",
"fax_number": "715-536-2736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S MILL ST",
"city": "MERRILL",
"state": "WI",
"postal_code": "544522534",
"telephone_number": "715-536-4440",
"fax_number": "715-536-2736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELONAS",
"first_name": "IRENE",
"middle_name": "A.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "2136-057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merrill, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.