Individual provider Active NPI

Kathy Dorien Meley, PSY.D.

  • Psychologist
  • Cooksburg, PA
National Provider Identifier
1932270337
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS008292L Issued in PA
Practice address
HC 1 Box 10
Cooksburg, PA 16217-9704
Phone
(814) 752-2979
Fax
(814) 752-6456
NPI assigned
Nov 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS008292L PA Primary

Addresses

Primary practice location

HC 1 Box 10
Cooksburg, PA 16217-9704

Mailing address

HC 1 Box 10
Cooksburg, PA 16217-9704
Phone (814) 752-2979

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS008292LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932270337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 10",
            "city": "COOKSBURG",
            "state": "PA",
            "postal_code": "162179704",
            "telephone_number": "814-752-2979",
            "fax_number": "814-752-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 10",
            "city": "COOKSBURG",
            "state": "PA",
            "postal_code": "162179704",
            "telephone_number": "814-752-2979",
            "fax_number": "814-752-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELEY",
        "first_name": "KATHY",
        "middle_name": "DORIEN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS008292L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.