Melanie Marie Perkins-Fairbanks, NP-C, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP07832 Issued in OH

Practice address

111 S Broad St Ste 209
Lancaster, OH 43130

Phone

(614) 301-6479

Fax

(740) 277-7433

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Melanie Marie Perkins-Graham Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mahajan Therapeutics, LLCGroup PAC ID 8820236524, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mahajan Therapeutics, LLC

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1669531810
  Medicare reassignment Care Compare group NPD
• Dublin Springs Physician Group, LLC

  • Psychiatry Physician
  • Dublin, OH
  • NPI 1831501584

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Ohioguidestone

  • Developmental - Behavioral Pediatrics Physician
  • Berea, OH
  • NPI 1609123728
  Medicare reassignment NPD
• Ohioguidestone

  • Community/Behavioral Health Agency
  • Berea, OH
  • NPI 1174680557
  NPD
• Ohioguidestone

  • Family Medicine Physician
  • Lorain, OH
  • NPI 1487452603
  NPD
• Pickaway Health Services

  • Family Medicine Physician
  • Laurelville, OH
  • NPI 1194822536
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1538206545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S BROAD ST STE 209",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304383",
            "telephone_number": "614-301-6479",
            "fax_number": "740-277-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S BROAD ST STE 209",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "43130",
            "telephone_number": "614-301-6479",
            "fax_number": "740-277-7433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 East Main St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "43130",
            "country_code": "US",
            "telephone_number": "740-277-6043",
            "fax_number": "740-207-4221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKINS-FAIRBANKS",
        "first_name": "MELANIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "NP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.07832",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "NP07832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "PERKINS-GRAHAM",
            "middle_name": "MARIE",
            "credential": "NP-C, PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Martha E Peebles-Fields, LISW-S
• Mark Allen Pennington, LMT
• Macie Lane Penrod
• Tara R Perez, LPCC
• Perfection Health Care
• Amy Jo Perkins
• Sarah Perlow
• Chris Perrine, LMT
• Mark Perry, PRS
• Kassandra Kaye Persinger, LPN

• Psychiatric/Mental Health Nurse Practitioner in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.