Individual provider Active NPI

Melissa P Lopez-Larson, M.D.

  • Child & Adolescent Psychiatry Physician
  • Independence, OH
National Provider Identifier
1942268446
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD477831 Issued in PA
Practice address
5000 Rockside Rd Ste 320
Independence, OH 44131-2178
Phone
(216) 503-9226
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD477831 PA Primary
Child & Adolescent Psychiatry Physician 2084P0804X 7143165-1205 UT

Addresses

Primary practice location

5000 Rockside Rd Ste 320
Independence, OH 44131-2178

Mailing address

5000 Rockside Rd Ste 320
Independence, OH 44131-2178
Phone (216) 503-9226

Other practice location 1

400 E 3rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, MN, OH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110721000076 UT Practitioner - PsychiatryPractitioner - Pediatric Medicine 9032155403 Reassigns benefits to 1 organization
I20250317002292 MN Practitioner - Psychiatry 9032155403
I20250806004286 OH Practitioner - Psychiatry 9032155403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Cincinnati College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5000 Rockside Rd
Suite 320
Independence, OH 44131-2178
Phone (216) 503-9226

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD477831PAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic LTD Current Accepting new patients
The Duluth Clinic LTD CurrentSince Mar 10, 2025 Accepting new patients
Lopez-Larson and Associates, LLC CurrentSince Jun 17, 2025 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Mar 10, 2025 Accepting new patients
TMS Solutions Inc CurrentSince Apr 23, 2019 Accepting new patients
SMDC Medical Center Past Accepting new patients
TMS Elevated Child & Adolescent Psychiatry PastSince Jul 27, 2020 Accepting new patients

Locations

502 E 2nd St
Duluth, MN 55805
Phone (218) 727-8762

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

5000 Rockside Rd
Ste 320
Independence, OH 44131
Phone (216) 503-9226

5117 S 1500 W
Riverdale, UT 84405

765 E Holland Ave
Ste 1
Spokane, WA 99218
Phone (509) 242-6005

Organizations & group practices 7

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1942268446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 ROCKSIDE RD STE 320",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312178",
            "telephone_number": "216-503-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 ROCKSIDE RD STE 320",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312178",
            "telephone_number": "216-503-9226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051951",
            "country_code": "US",
            "telephone_number": "218-786-8364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ-LARSON",
        "first_name": "MELISSA",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD477831",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "UT",
            "license": "7143165-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.