Individual provider Active NPI

Melissa Ann Stine, PH.D.

  • Psychologist
  • Chambersburg, PA
National Provider Identifier
1912394628
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS018144 Issued in PA
Practice address
4142 Wilhelm Dr
Chambersburg, PA 17202-8678
Phone
(859) 230-6961
NPI assigned
Apr 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS018144 PA Primary

Addresses

Primary practice location

4142 Wilhelm Dr
Chambersburg, PA 17202-8678

Mailing address

2201 Ridgewood Rd Ste 400
Wyomissing, PA 19610-1193
Phone (859) 233-4511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200702001136 PA Practitioner - Clinical Psychologist 6901229368 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
KY-1475KYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
DGR Management Inc. CurrentSince Jun 24, 2020 Accepting new patients

Locations

2201 Ridgewood Rd
Ste 400
Wyomissing, PA 19610
Phone (610) 378-9601

Organizations & group practices 1

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": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1912394628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 RIDGEWOOD RD STE 400",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101193",
            "telephone_number": "859-233-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4142 WILHELM DR",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172028678",
            "telephone_number": "859-230-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINE",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.