Melissa Dionne LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MELISSA DIONNE LLC

Practice address

121 Annapolis LN
Ponte Vedra Beach, FL 32082-1512

Phone

(904) 687-8377

NPI assigned

Aug 6, 2021

Organization subpart

No

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

Authorized official

Name

Melissa Putterman, SW

Title

Owner

Phone

(837) 790-4687

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1982378485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 ANNAPOLIS LN",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 ANNAPOLIS LN",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821512",
            "telephone_number": "904-687-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA DIONNE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "PUTTERMAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "837-790-4687",
        "authorized_official_credential": "SW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.