Melody L Vaitkus, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6501 Issued in OH

Practice address

615 Kingsbury St
Maumee, OH 43537-1865

Phone

(419) 270-2490

NPI assigned

Apr 16, 2007

Last updated

Dec 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Vaitkus Psychological Services LLC

  • Psychologist
  • Maumee, OH
  • NPI 1053853507
  Medicare reassignment NPD Authorized official
• Drescher and Associates Clinical Services, LLC

  • Psychologist
  • Maumee, OH
  • NPI 1558837294
  NPD

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1972728939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 KINGSBURY ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371865",
            "telephone_number": "419-270-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 KINGSBURY ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371865",
            "telephone_number": "419-270-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAITKUS",
        "first_name": "MELODY",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6501",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301014492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Urbanowski, CDCA
• Holly Renee Urbina, LPC
• Usrc Briarfield Home LLC (U.S. Renal Care Briarfield Home Dialysis)
• Usrc Maumee, LLC (U.S. Renal Care Maumee Dialysis)
• Vaitkus Psychological Services LLC
• Alice Margaret Vandecaveye, LISW
• Nidhi Varma, M.D.
• Dianna Marie Vasher
• Ca'Cy Vaughn, RN
• Susan Elizabeth Verner, M.ED., CCC-SLP

• Psychologist in Maumee, OH
• Providers in Maumee, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.