Melissa A Knowlton-Patheal, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60472709 Issued in WA

Practice address

100 N Morain St
Suite 201
Kennewick, WA 99336-2905

Phone

(509) 543-7253

Fax

(509) 735-8535

NPI assigned

Apr 28, 2015

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

• Dr. Melissa A Knowlton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Valdez and Associates, LLC

  • Community/Behavioral Health Agency
  • Kennewick, WA
  • NPI 1861871931
  NPD (past)

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1619354636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MORAIN ST",
            "address_2": "SUITE 201",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362905",
            "telephone_number": "509-543-7253",
            "fax_number": "509-735-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MORAIN ST",
            "address_2": "SUITE 201",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362905",
            "telephone_number": "509-543-7253",
            "fax_number": "509-735-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLTON-PATHEAL",
        "first_name": "MELISSA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60472709",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "KNOWLTON",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bryce Chad Knapp, PHARMD
• Sandra Lea Knighton, CDP
• Alicen C Knoblich
• Bailey Knoll
• Ethel Marie Knopp, R.N., L.M.P.
• Deneen F. Koch
• Wayne Michael Kohan, MD
• Michael Kolczynski, M.D.
• Sandra Kay Kolp
• Christopher Kontogianis, M.D.

• Clinical Psychologist in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.