Active NPI
Melinda Longtain, PH.D.
- Psychologist
- Austin, TX
National Provider Identifier
1821154782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 24544
- Practice address
- 1600 W 38TH St Ste 428
Austin, TX 78731-6409 - Phone
- (512) 454-3685
- Fax
- (512) 454-3689
- NPI assigned
- Dec 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 24544 | TX | Primary |
Addresses
Primary practice location
1600 W 38TH St Ste 428
Austin, TX 78731-6409
Mailing address
1600 W 38TH St Ste 428
Austin, TX 78731-6409
Phone (512) 454-3685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00P45P | Other | TX | BCBS |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24544 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821154782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W 38TH ST STE 428",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316409",
"telephone_number": "512-454-3685",
"fax_number": "512-454-3689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W 38TH ST STE 428",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316409",
"telephone_number": "512-454-3685",
"fax_number": "512-454-3689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGTAIN",
"first_name": "MELINDA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "24544",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00P45P",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.