Individual provider Active NPI

Melissa Ming Foynes, PHD

  • Clinical Psychologist
  • Durham, NC
National Provider Identifier
1598099459
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5349 Issued in NC
Practice address
5015 Southpark Dr Ste 250
Durham, NC 27713-7736
Phone
(919) 808-1127
Fax
(919) 808-1127
NPI assigned
Sep 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 10409 MA
Clinical Psychologist 103TC0700X 5349 NC Primary

Addresses

Primary practice location

5015 Southpark Dr Ste 250
Durham, NC 27713-7736

Mailing address

5015 Southpark Dr Ste 250
Durham, NC 27713-7736
Phone (919) 808-1127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
10409MAMDClinical Psychologist
5349NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1598099459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 SOUTHPARK DR STE 250",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137736",
            "telephone_number": "919-808-1127",
            "fax_number": "919-808-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 SOUTHPARK DR STE 250",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137736",
            "telephone_number": "919-808-1127",
            "fax_number": "919-808-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOYNES",
        "first_name": "MELISSA",
        "middle_name": "MING",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10409",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.