Individual provider Active NPI

Shelly Melich Ossana, PHD

  • Psychologist
  • Columbia, MO
National Provider Identifier
1821163031
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
2804 Forum Blvd
Suite 4
Columbia, MO 65203
Phone
(573) 446-5034
Fax
(573) 446-5046
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
No

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
Psychologist 103T00000X Primary

Addresses

Primary practice location

2804 Forum Blvd
Suite 4
Columbia, MO 65203

Mailing address

2804 Forum Blvd
Suite 4
Columbia, MO 65203
Phone (573) 446-5034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070531000101 MO Practitioner - Clinical Psychologist 9931207867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2804 Forum Blvd
Suite 3a
Columbia, MO 65203-6322

2804 Forum Blvd
Suite 3a
Columbia, MO 65203-6661
Phone (573) 446-6290

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Hub LLC CurrentSince Oct 30, 2024 Accepting new patients
Shelly M Ossana PHD LLC CurrentSince Jul 19, 2023 Accepting new patients

Locations

2804 Forum Blvd
Ste 3A
Columbia, MO 65203
Phone (573) 446-6290

2804 Forum Blvd
Ste 4
Columbia, MO 65203
Phone (573) 446-5034

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.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821163031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 FORUM BLVD",
            "address_2": "SUITE 4",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65203",
            "telephone_number": "573-446-5034",
            "fax_number": "573-446-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 FORUM BLVD",
            "address_2": "SUITE 4",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65203",
            "telephone_number": "573-446-5034",
            "fax_number": "573-446-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSSANA",
        "first_name": "SHELLY",
        "middle_name": "MELICH",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.