Individual provider Active NPI

Melinda M. Down, PH.D.

  • Clinical Psychologist
  • San Antonio, TX
National Provider Identifier
1659395812
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
25100 Issued in TX
Practice address
147 W Sunset Rd
Suite 200
San Antonio, TX 78209-2676
Phone
(210) 858-1900
Fax
(210) 745-4525
NPI assigned
Jul 27, 2006
Last updated
Jul 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 2-5100 TX
Clinical Psychologist 103TC0700X 25100 TX Primary
Clinical Child & Adolescent Psychologist 103TC2200X 2-5100 TX
Health Service Psychologist 103TH0100X 2-5100 TX
EEG Specialist/Technologist 246ZE0500X
Electroneurodiagnostic Specialist/Technologist 246ZE0600X

Addresses

Primary practice location

147 W Sunset Rd
Suite 200
San Antonio, TX 78209-2676

Mailing address

147 W Sunset Rd
Suite 200
San Antonio, TX 78209-2676
Phone (210) 858-1900

Other identifiers 1

IdentifierTypeStateIssuer
038942103MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20061010000363 TX Practitioner - Clinical Psychologist 1557367000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Restore Behavioral Health, PLLCGroup PAC ID 4981752557, 2 clinicians

Practice addresses (Care Compare)

1314 E Sonterra Blvd
Suite 2208
San Antonio, TX 78258-4287
Phone (210) 858-1900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2-5100TXMDClinical Child & Adolescent Psychologist
25100TXMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Behavioral Health, PLLC Cognitive & Behavioral CurrentSince Apr 9, 2009 Accepting new patients
Deer Oaks Geriatric Services P C Clinical PastSince Jan 23, 2023 Accepting new patients
Long Term Care Services, LP Clinical PastSince Aug 1, 2006 Accepting new patients

Locations

1314 E Sonterra Blvd
Ste 2208
San Antonio, TX 78258
Phone (210) 858-1900

147 W Sunset Rd
Ste 200
San Antonio, TX 78209
Phone (210) 733-0578

414 W Sunset Rd
Ste 201
San Antonio, TX 78209
Phone (210) 858-1900

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1659395812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 W SUNSET RD",
            "address_2": "SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092676",
            "telephone_number": "210-858-1900",
            "fax_number": "210-745-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 W SUNSET RD",
            "address_2": "SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092676",
            "telephone_number": "210-858-1900",
            "fax_number": "210-745-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWN",
        "first_name": "MELINDA",
        "middle_name": "M.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "TX",
            "license": "2-5100",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "25100",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "2-5100",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "TX",
            "license": "2-5100",
            "primary": false
        },
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038942103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.