Organization Active NPI

Melody E Marley, LLC

  • Psychologist
  • Kokomo, IN
National Provider Identifier
1922478551
Registry record updated Sep 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20042895A Issued in IN
Legal business name
MELODY E MARLEY, LLC
Practice address
1810 Dogwood Dr
Kokomo, IN 46902-5737
Phone
(765) 553-5691
Fax
(765) 553-5772
NPI assigned
Sep 24, 2015
Last updated
Sep 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2023

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

Authorized official

Name
Dr. Melody E Marley, PHD, HSPPNPI 1710078555
Title
Owner
Phone
(765) 553-5691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 20042895A IN Primary

Addresses

Primary practice location

1810 Dogwood Dr
Kokomo, IN 46902-5737

Mailing address

1810 Dogwood Dr
Kokomo, IN 46902-5737
Phone (765) 553-5691

National Provider Directory

National Provider Directory

Locations

1810 Dogwood Dr
Kokomo, IN 46902
Phone (765) 252-3822

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694217600000",
    "number": "1922478551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 DOGWOOD DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469025737",
            "telephone_number": "765-553-5691",
            "fax_number": "765-553-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 DOGWOOD DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469025737",
            "telephone_number": "765-553-5691",
            "fax_number": "765-553-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELODY E MARLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2023-09-09",
        "certification_date": "2023-09-09",
        "status": "A",
        "authorized_official_last_name": "MARLEY",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-553-5691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, HSPP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20042895A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2023; 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.