Melissa L. Gregory, PSYD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3373-57 Issued in WI

Practice address

101 E Pier St Ste 2
Port Washington, WI 53074-1939

Phone

(262) 284-5789

NPI assigned

Aug 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1851585418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E PIER ST STE 2",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741939",
            "telephone_number": "262-284-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E PIER ST STE 2",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741939",
            "telephone_number": "262-284-5789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Green Bay Rd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Thiensville",
            "state": "WI",
            "postal_code": "530921657",
            "country_code": "US",
            "telephone_number": "414-937-5572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "MELISSA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3373-57",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "903417100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Gonzalez
• Legenda Gooding, APNP
• Kelly Grady, MSW, APSW
• Paul Grady, LCSW
• Maureen Therese Greene, RN, CNS, ACNP
• Rachel Gremminger LLC, LPC
• Kim M Grisar, PTA
• Keith J Hacker, P.A.
• William L Hall, M.D.
• Bonnie Halper, LPC

• Clinical Psychologist in Port Washington, WI
• Providers in Port Washington, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.