Individual provider Active NPI

Melissa Rothschild, PSY.D.

  • Psychologist
  • Washington, MO
National Provider Identifier
1669890174
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2020017889 Issued in MO
Practice address
1874 Highway a Ste 106
Washington, MO 63090-6448
Phone
(636) 242-1516
NPI assigned
Apr 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2020017889 MO Primary
Psychologist 103T00000X 5137 NJ

Addresses

Primary practice location

1874 Highway a Ste 106
Washington, MO 63090-6448

Mailing address

1874 Highway a Ste 106
Washington, MO 63090-6448
Phone (636) 242-1516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 15, 2023 through Nov 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2020017889MOMDPsychologist
5137NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Essex Psychological Associates, LLC Psychologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1669890174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 HIGHWAY A STE 106",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630906448",
            "telephone_number": "636-242-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 HIGHWAY A STE 106",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630906448",
            "telephone_number": "636-242-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHSCHILD",
        "first_name": "MELISSA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2020017889",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "5137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

Verify at the official NPI Registry.