Melvina Alexis Norwood, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PSY003038 Issued in GA

Practice address

110 Eagles Walk
Ste. 100
Stockbridge, GA 30281-7204

Phone

(770) 507-6044

Fax

(770) 507-5284

NPI assigned

Apr 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Medlin Treatment Center Inc

  • Psychologist
  • Marietta, GA
  • NPI 1093868903
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598988040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4395 MEADOW VISTA DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300387712",
            "telephone_number": "770-507-6044",
            "fax_number": "770-507-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EAGLES WALK",
            "address_2": "STE. 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817204",
            "telephone_number": "770-507-6044",
            "fax_number": "770-507-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORWOOD",
        "first_name": "MELVINA",
        "middle_name": "ALEXIS",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "GA",
            "license": "PSY003038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155420049B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priscilla Njagi, PHARMACIST
• Vida Njoku
• Noah's Ark Urgent Care LLC
• Leo O Noragbon, MD, MBA
• Northwest Diagnostic Imaging, Inc (Open MRI & Imaging of Stockbridge, LLC)
• Ali Nourbakhsh, MD
• Sanjuana Nozile, PA
• NSH Cancer Institute Professional Services G LLC
• Ahmad Ibn Nuriddin, M.D.
• Nurse Dee Transport Services LLC (Nurse Dee Transport)

• Clinical Child & Adolescent Psychologist in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Clinical Child & Adolescent Psychologist in Georgia

• 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.

Verify at the official NPI Registry.