Individual provider Active NPI

Melissa Marie McKelvie, PH.D.

  • Clinical Psychologist
  • Cincinnati, OH
National Provider Identifier
1760696157
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5810 Issued in OH
Practice address
7826 Cooper Rd
Cincinnati, OH 45242-7619
Phone
(513) 984-1000
Fax
(513) 985-2182
NPI assigned
May 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5810 OH Primary

Addresses

Primary practice location

7826 Cooper Rd
Cincinnati, OH 45242-7619

Mailing address

4448 Victor Ave
Cincinnati, OH 45242-6722
Phone (513) 791-0059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 27, 2022 through Jan 27, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5810OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Foundations for Families CurrentSince Jul 1, 2023 Accepting new patients
The Affinity Center, Inc Past Accepting new patients

Locations

316 N 9th St
Quincy, IL 62301
Phone (217) 222-8254

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760696157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4448 VICTOR AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426722",
            "telephone_number": "513-791-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7826 COOPER RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427619",
            "telephone_number": "513-984-1000",
            "fax_number": "513-985-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKELVIE",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.