Melissa Anne Menetrey

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

21168275 Issued in TN

Practice address

104 Glen Oak Blvd Ste 120
Hendersonville, TN 37075-6421

Phone

(844) 854-1116

NPI assigned

Aug 25, 2022

Last updated

Sep 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mobile Therapy Centers of Tennessee, LLC

  • Behavior Analyst
  • Brentwood, TN
  • NPI 1689187247
  NPD (past)

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1881313468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DOUGLAS RD STE 230",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344108",
            "telephone_number": "844-854-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GLEN OAK BLVD STE 120",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756421",
            "telephone_number": "844-854-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENETREY",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": "21168275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Melikian, MFT IN TRAINING
• Mendoza Foot & Ankle Center PC (Nashville Podiatry)
• Daniel Mendoza, DPM
• Gabriel Seth Mendoza, DC
• Gina Mendoza, DPM
• Meraki Care Services LLC
• Karima Merali, D.C
• Lindsay Merritt
• Metro Health Department
• Carly Meyer, RBT

• Behavior Technician in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Behavior Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.