Jeanie Melissa Melendez-Davidson, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810006139 Issued in VA

Practice address

306 Westwood Office Park
Fredericksburg, VA 22401

Phone

(540) 699-0226

NPI assigned

Nov 8, 2017

Last updated

Nov 13, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Resilience Counseling & Social Skills Center LLC

  dba Resilience Counseling & Social Skills Center

  • Professional Counselor
  • Midlothian, VA
  • NPI 1245724707

  Clinical

  Medicare reassignment NPD
• Psyche Centro de Apoyo Psicologico Inc

  • Clinical Psychologist
  • Caguas, PR
  • NPI 1437466083
  NPD (past)

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1588177943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 CATTAIL CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224072503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WESTWOOD OFFICE PARK",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22401",
            "telephone_number": "540-699-0226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Calle Betances",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007250003",
            "country_code": "US",
            "telephone_number": "787-961-8484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Calle Betances",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007250003",
            "country_code": "US",
            "telephone_number": "787-961-8484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 Westwood Office Park",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "22401",
            "country_code": "US",
            "telephone_number": "540-699-0226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELENDEZ-DAVIDSON",
        "first_name": "JEANIE",
        "middle_name": "MELISSA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5895",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810006139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Benjamin Meeusen, PT
• Wendy Mehary
• Manan S Mehta, M.D.
• Maria Mejia
• Lisa Diane Mele, CCC-SLP
• Kari Melendez, NP
• Tanya Lynn Meline, L.C.S.W.
• Jason Melnuk, CRNA
• Inna Melnychuk-Hymer
• Meluzio Psychological Services, LLC

• Clinical Psychologist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.