Active NPI
Melanie Joy Bliss, PH.D.
- Clinical Psychologist
- Decatur, GA
National Provider Identifier
1871544601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY002900
- Practice address
- 118 E. Trinity PL
Ste 100
Decatur, GA 30030 - Phone
- (404) 387-0780
- Fax
- (678) 974-2254
- NPI assigned
- May 15, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY002900 | GA | Primary |
Addresses
Primary practice location
118 E. Trinity PL
Ste 100
Decatur, GA 30030
Mailing address
118 E. Trinity PL
Ste 100
Decatur, GA 30030
Phone (404) 387-0780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 888934094A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 19, 2025 through Mar 19, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297209600000",
"number": "1871544601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 E. TRINITY PL",
"address_2": "STE 100",
"city": "DECATUR",
"state": "GA",
"postal_code": "30030",
"telephone_number": "404-387-0780",
"fax_number": "678-974-2254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 E. TRINITY PL",
"address_2": "STE 100",
"city": "DECATUR",
"state": "GA",
"postal_code": "30030",
"telephone_number": "404-387-0780",
"fax_number": "678-974-2254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLISS",
"first_name": "MELANIE",
"middle_name": "JOY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2011-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY002900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "888934094A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.