Kaliopi Evangelia Melistas, M.S., L.L.P.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301013562 Issued in MI

Practice address

5111 Auto Club Dr
Suite 112
Dearborn, MI 48126-2749

Phone

(313) 317-2041

NPI assigned

Feb 5, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1669650453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 AUTO CLUB DR",
            "address_2": "SUITE 112",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262749",
            "telephone_number": "313-317-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 AUTO CLUB DR",
            "address_2": "SUITE 112",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262749",
            "telephone_number": "313-317-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELISTAS",
        "first_name": "KALIOPI",
        "middle_name": "EVANGELIA",
        "credential": "M.S., L.L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-05",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmelistas38692@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "5111 Auto Club Dr",
            "address_2": "Suite 112",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481262749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alan J Meier, DDS
• Michaela Meilinger
• Ashlynn Marie Meininger
• Christine Mekhayel, O.D.
• Kara Christine Mekjian
• Dora Mell, MD
• Betty Melon, NNP
• Bridgette Melton, PSS
• Alissia Mendez
• Jose Mendez, MD

• Clinical Psychologist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.