Individual provider Active NPI

Kathy Newport Melman, PH.D.

  • Clinical Psychologist
  • Seattle, WA
National Provider Identifier
1780735365
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1080 Issued in WA
Practice address
16040 Christensen Road
Suite 217
Seattle, WA 98188-2966
Phone
(206) 244-9959
Fax
(206) 241-7346
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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 1080 WA Primary

Addresses

Primary practice location

16040 Christensen Road
Suite 217
Seattle, WA 98188-2966

Mailing address

16040 Christensen Road
Suite 217
Seattle, WA 98188-2966
Phone (206) 244-9959

Other names 1

  • Kathy Sue Newport Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1080WAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1780735365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16040 CHRISTENSEN ROAD",
            "address_2": "SUITE 217",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981882966",
            "telephone_number": "206-244-9959",
            "fax_number": "206-241-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16040 CHRISTENSEN ROAD",
            "address_2": "SUITE 217",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981882966",
            "telephone_number": "206-244-9959",
            "fax_number": "206-241-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELMAN",
        "first_name": "KATHY",
        "middle_name": "NEWPORT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "1080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "NEWPORT",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.