Jennifer Vane Melrose, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

32530 Issued in TX

Practice address

4409 Medical Pkwy
Austin, TX 78756-3313

Phone

(512) 495-9556

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Jennifer Vane, PH.D., P.C.

  • Psychologist
  • Austin, TX
  • NPI 1134225972
  NPD (past) Authorized official

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1902902661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6704 VALBURN DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311802",
            "telephone_number": "512-608-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 MEDICAL PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563313",
            "telephone_number": "512-495-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELROSE",
        "first_name": "JENNIFER",
        "middle_name": "VANE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32530",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "32530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxwell Franklin Mello, PHYSICIAN ASSISTANT
• Linda Melnick, LCSW
• Larisa V Melnikova, PTA
• Katherine Melo Li, PSYCHOLOGIST
• Evan Melrose, MD
• Johnathon Melton
• Lues J. Melton, RN
• Tiffany Carise Melton, COSMETOLOGIST/PHT
• Ethan Meltzer, M.D.
• Alma Mena

• Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.