Active NPI
Melissa Lane, PSYD
- Psychologist
- Covington, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1607
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY10710 | FL | MD | Psychologist |
| 1607 | LA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | 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
- 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.
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- Thibodaux, LA
- NPI 1063950921
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.