Active NPI
Wendy Frances Melancon
- Clinical Psychologist
- Warsaw, IN
National Provider Identifier
1902953987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5496
- Practice address
- 850 N Harrison St
Warsaw, IN 46580-3163 - Phone
- (574) 267-7169
- Fax
- (574) 269-3995
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 5496 | OH | Primary |
Addresses
Primary practice location
850 N Harrison St
Warsaw, IN 46580-3163
Mailing address
850 N Harrison St
C/O Anne Lawson
Warsaw, IN 46580-3163
Phone (574) 267-7169
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 |
|---|---|---|---|
| 5496 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Medical Administration | Clinical | Past | Accepting new patients |
| Professional Psychiatric Services, LLC | Past | Accepting new patients |
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.
-
- Psychiatry Physician
- West Chester, OH
- NPI 1538115092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1902953987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 N HARRISON ST",
"address_2": "C/O ANNE LAWSON",
"city": "WARSAW",
"state": "IN",
"postal_code": "465803163",
"telephone_number": "574-267-7169",
"fax_number": "574-269-3995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 N HARRISON ST",
"city": "WARSAW",
"state": "IN",
"postal_code": "465803163",
"telephone_number": "574-267-7169",
"fax_number": "574-269-3995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELANCON",
"first_name": "WENDY",
"middle_name": "FRANCES",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "5496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warsaw, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.