Active NPI
Melissa J Westendorf, J.D./PH.D.
- Forensic Psychologist
- Mequon, WI
National Provider Identifier
1922248186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 2436-057
- Practice address
- 14135 N Cedarburg Rd Ste 1
Mequon, WI 53097-1416 - Phone
- (414) 581-3236
- Fax
- (443) 264-1279
- NPI assigned
- Mar 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2436-057 | WI | |
| Forensic Psychologist | 103TF0200X | 2436-057 | WI | Primary |
Addresses
Primary practice location
14135 N Cedarburg Rd Ste 1
Mequon, WI 53097-1416
Mailing address
PO Box 511653
Milwaukee, WI 53203-0281
Phone (414) 581-3236
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)
- Not enrolled
- Credentials
- Juris Doctor, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2436-057 | WI | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235952000000",
"number": "1922248186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 511653",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532030281",
"telephone_number": "414-581-3236",
"fax_number": "443-264-1279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14135 N CEDARBURG RD STE 1",
"city": "MEQUON",
"state": "WI",
"postal_code": "530971416",
"telephone_number": "414-581-3236",
"fax_number": "443-264-1279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTENDORF",
"first_name": "MELISSA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "J.D./PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-02",
"last_updated": "2009-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "2436-057",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "WI",
"license": "2436-057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.