Active NPI
Christina Meluzio, PSYD
- Clinical Psychologist
- Manassas, VA
National Provider Identifier
1851723100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810004830
- Practice address
- 8140 Ashton Ave
200
Manassas, VA 20109-5698 - Phone
- (703) 330-9933
- Fax
- (703) 368-8454
- NPI assigned
- Aug 8, 2013
- Last updated
- Aug 8, 2013
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810004830 | VA | Primary |
Addresses
Primary practice location
8140 Ashton Ave
200
Manassas, VA 20109-5698
Mailing address
8140 Ashton Ave
200
Manassas, VA 20109-5698
Phone (703) 330-9933
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810004830 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodbridge Therapy Group LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1851723100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8140 ASHTON AVE",
"address_2": "200",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201095698",
"telephone_number": "703-330-9933",
"fax_number": "703-368-8454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8140 ASHTON AVE",
"address_2": "200",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201095698",
"telephone_number": "703-330-9933",
"fax_number": "703-368-8454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELUZIO",
"first_name": "CHRISTINA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810004830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.