Individual provider Active NPI

Melissia Sue Hardin, M.A.

  • Clinical Psychologist
  • South Charleston, WV
National Provider Identifier
1932406386
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1017 Issued in WV
Practice address
312 6TH Ave
Suite 2
South Charleston, WV 25303-1265
Phone
(304) 768-6170
Fax
(304) 768-7465
NPI assigned
Feb 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1017 WV Primary

Addresses

Primary practice location

312 6TH Ave
Suite 2
South Charleston, WV 25303-1265

Mailing address

312 6TH Ave
Suite 2
South Charleston, WV 25303-1265
Phone (304) 768-6170

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
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
MH Psychological Services, PLLC Clinical CurrentSince Feb 25, 2024 Accepting new patients
Psycare Inc Clinical PastSince Nov 22, 1993 Accepting new patients

Locations

125 Morris Ct
Hurricane, WV 25526
Phone (304) 633-3573

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1932406386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 6TH AVE",
            "address_2": "SUITE 2",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031265",
            "telephone_number": "304-768-6170",
            "fax_number": "304-768-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 6TH AVE",
            "address_2": "SUITE 2",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031265",
            "telephone_number": "304-768-6170",
            "fax_number": "304-768-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "MELISSIA",
        "middle_name": "SUE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "1017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.