Active NPI
Melissa Kay Chevalier, MS, BCBA
- Behavior Analyst
- Greenwood, IN
National Provider Identifier
1730417544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 21 S Park Blvd
Suite 21
Greenwood, IN 46143-8838 - Phone
- (317) 449-2104
- Fax
- (765) 450-6664
- NPI assigned
- Dec 7, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | GA | ||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
21 S Park Blvd
Suite 21
Greenwood, IN 46143-8838
Mailing address
3500 Depauw Boulevard
Suite 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-08-4817 | Other | BCBA CERTIFICATE |
Other names 1
- Melissa Kay Dougherty
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)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopebridge, LLC | Behavior Analyst | 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": "1260144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483574400000",
"number": "1730417544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BOULEVARD",
"address_2": "SUITE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "765-450-6664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 S PARK BLVD",
"address_2": "SUITE 21",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461438838",
"telephone_number": "317-449-2104",
"fax_number": "765-450-6664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEVALIER",
"first_name": "MELISSA",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "MS, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-07",
"last_updated": "2017-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA CERTIFICATE",
"identifier": "1-08-4817",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "DOUGHERTY",
"middle_name": "KAY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.