Individual provider Active NPI

Melissa Lane, PSYD

  • Psychologist
  • Covington, LA
National Provider Identifier
1972033694
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1607 Issued in LA
Practice address
56 Louis Prima Dr
Covington, LA 70433-5903
Phone
(985) 327-7256
Fax
(985) 327-7253
NPI assigned
Jun 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1607 LA Primary
Psychologist 103T00000X PY10710 FL
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

56 Louis Prima Dr
Covington, LA 70433-5903

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other practice location 1

1750 E Fairmount Ave Rm 3094
Baltimore, MD 21231-1534
Phone (443) 923-4467

Other practice location 2

701 W Mallory St
Pensacola, FL 32501-6319
Phone (850) 712-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211120000152 LA Practitioner - Clinical Psychologist 7315336997 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY10710FLMDPsychologist
1607LAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Oct 21, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 21, 2021 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients

Locations

56 Louis Prima Dr
#A
Covington, LA 70433
Phone (504) 450-7561

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Interoperability endpoints

  • Direct secure messaging: mlane1416899@direct.ochsner.org

Organizations & group practices 3

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1972033694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 LOUIS PRIMA DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335903",
            "telephone_number": "985-327-7256",
            "fax_number": "985-327-7253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 E Fairmount Ave Rm 3094",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212311534",
            "country_code": "US",
            "telephone_number": "443-923-4467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 W Mallory St",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325016319",
            "country_code": "US",
            "telephone_number": "850-712-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "LA",
            "license": "1607",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10710",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.