Active NPI
Melanie S Anderson, PSYD
- Addiction (Substance Use Disorder) Psychologist
- Scottsdale, AZ
National Provider Identifier
1710398995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Psychologist
- License
- 4494
- Practice address
- 33755 N Scottsdale Rd
Suite J-105
Scottsdale, AZ 85266-1567 - Phone
- (480) 595-1555
- Fax
- (866) 307-0007
- NPI assigned
- May 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 4494 | AZ | Primary |
| Adult Development & Aging Psychologist | 103TA0700X | 4494 | AZ | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 4494 | AZ | |
| Clinical Psychologist | 103TC0700X | 4494 | AZ | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 4494 | AZ | |
| Family Psychologist | 103TF0000X | 4494 | AZ | |
| Forensic Psychologist | 103TF0200X | 4494 | AZ | |
| Health Psychologist | 103TH0004X | 4494 | AZ | |
| Group Psychotherapy Psychologist | 103TP2701X | 4494 | AZ | |
| Rehabilitation Psychologist | 103TR0400X | 4494 | AZ |
Addresses
Primary practice location
33755 N Scottsdale Rd
Suite J-105
Scottsdale, AZ 85266-1567
Mailing address
33755 N Scottsdale Rd
Suite J-105
Scottsdale, AZ 85266-1567
Phone (480) 595-1555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4494 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melanie S Anderson PSYD PLLC | Psychologist | Past | Accepting new patients |
| Black Mountain Neuropsychology, PLLC | Psychologist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Psychologist
- Scottsdale, AZ
- NPI 1528473055
-
- Clinical Neuropsychologist
- Scottsdale, AZ
- NPI 1548675077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1710398995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33755 N SCOTTSDALE RD",
"address_2": "SUITE J-105",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852661567",
"telephone_number": "480-595-1555",
"fax_number": "866-307-0007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33755 N SCOTTSDALE RD",
"address_2": "SUITE J-105",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852661567",
"telephone_number": "480-595-1555",
"fax_number": "866-307-0007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "MELANIE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-09",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "4494",
"primary": true
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "AZ",
"license": "4494",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "AZ",
"license": "4494",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "4494",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "AZ",
"license": "4494",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "AZ",
"license": "4494",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "AZ",
"license": "4494",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "AZ",
"license": "4494",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "AZ",
"license": "4494",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "AZ",
"license": "4494",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.