Individual provider Active NPI

Melissa Renee Valdez, MD, PHD

  • Psychiatry Physician
  • Round Rock, TX
National Provider Identifier
1891822599
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M7716 Issued in TX
Practice address
3950 N a W Grimes Blvd Ste N102
C/O Lone Star Circle of Care
Round Rock, TX 78665-3540
Phone
(877) 800-5722
Fax
(512) 257-1763
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X M7716 TX Primary

Addresses

Primary practice location

3950 N a W Grimes Blvd Ste N102
C/O Lone Star Circle of Care
Round Rock, TX 78665-3540

Mailing address

205 E University Ave Ste 200
C/O Lone Star Circle of Care
Georgetown, TX 78626-6821
Phone (877) 800-5722

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissa.valdez.p1@direct.lscctx.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071128000158 TX Practitioner - Psychiatry 9638268790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Southwestern Medical School at Dallas, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Gulf Coast CenterGroup PAC ID 6204821895, 21 clinicians

Practice addresses (Care Compare)

4444 W Main St
League City, TX 77573-1737
Phone (409) 763-2373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
M7716TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Gulf Coast Center Psychiatry CurrentSince Nov 7, 2023 Accepting new patients
Lone Star Circle of Care Past Accepting new patients

Locations

101 Tigner St
Angleton, TX 77515
Phone (800) 710-4322

4444 W Main St
League City, TX 77573

7510 FM 1765
Texas City, TX 77591
Phone (409) 935-6083

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1891822599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E UNIVERSITY AVE STE 200",
            "address_2": "C/O LONE STAR CIRCLE OF CARE",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266821",
            "telephone_number": "877-800-5722",
            "fax_number": "512-257-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 N A W GRIMES BLVD STE N102",
            "address_2": "C/O LONE STAR CIRCLE OF CARE",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653540",
            "telephone_number": "877-800-5722",
            "fax_number": "512-257-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "MELISSA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "M7716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa.valdez.p1@direct.lscctx.nextgenshare.com",
            "affiliation": "N",
            "address_1": "3950 N A W Grimes Blvd Ste N102",
            "address_2": "c/o Lone Star Circle of Care",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786653540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.