Individual provider Active NPI

Melanie Ottenbacher, M.D.

  • Psychiatry Physician
  • Corpus Christi, TX
National Provider Identifier
1710204276
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
P3787 Issued in TX
Practice address
5656 S Staples St Ste 280
Corpus Christi, TX 78411-4655
Phone
(361) 356-1234
NPI assigned
Apr 23, 2010
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X P3787 TX Primary

Addresses

Primary practice location

5656 S Staples St Ste 280
Corpus Christi, TX 78411-4655

Mailing address

205 S Enterprize Pkwy
Corpus Christi, TX 78405-4118
Phone (361) 939-6510

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240430000979 TX Practitioner - Psychiatry 2466673884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Turnwell Mental Health of South Texas, PLLCGroup PAC ID 0547780413, 20 clinicians
South Texas Mental Health Associates PAGroup PAC ID 3971745126, 6 clinicians

Practice addresses (Care Compare)

3120 Ctr Point Dr
Edinburg, TX 78539-4804
Phone (956) 329-2654

4444 Corona Dr
Suite 130
Corpus Christi, TX 78411-4322
Phone (361) 500-4207

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P3787TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Turnwell Mental Health of South Texas, PLLC Psychiatry CurrentSince Feb 28, 2025 Accepting new patients
South Texas Mental Health Associates, PA Psychiatry CurrentSince Apr 1, 2024 Accepting new patients

Locations

4444 Corona Dr
Ste 130
Corpus Christi, TX 78411
Phone (361) 500-4207

5656 S Staples St
Ste 280
Corpus Christi, TX 78411
Phone (361) 356-1234

85 NE Loop 410
Ste 315
San Antonio, TX 78216
Phone (210) 468-7099

Organizations & group practices 2

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": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1710204276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S ENTERPRIZE PKWY",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784054118",
            "telephone_number": "361-939-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 S STAPLES ST STE 280",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114655",
            "telephone_number": "361-356-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTENBACHER",
        "first_name": "MELANIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P3787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.