Organization Active NPI

Melvin Canell Ed D

  • Community/Behavioral Health Agency
  • North Platte, NE
National Provider Identifier
1982786695
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
212944723 Issued in NE
Legal business name
MELVIN CANELL ED D
Doing business as
Affilliates in Psychology
Practice address
1510 E 4TH St
Suite 1
North Platte, NE 69101-4304
Phone
(308) 534-7170
Fax
(308) 534-2377
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Mrs. Kristin M Fierro
Title
Office Manager
Phone
(308) 534-7170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 212944723 NE Primary

Addresses

Primary practice location

1510 E 4TH St
Suite 1
North Platte, NE 69101-4304

Mailing address

PO Box 892
North Platte, NE 69103-0892
Phone (308) 534-7170

Other identifiers 3

IdentifierTypeStateIssuer
259226000OtherNEMAGELLAN MIS
212944723OtherNESTATE OF NE ID
A937805OtherNEVALUE OPTIONS

Other names 1

  • Affilliates in Psychology Doing business as

National Provider Directory

National Provider Directory

Locations

1510 E 4th St
Ste 1
North Platte, NE 69101
Phone (308) 534-7170

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1982786695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 892",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691030892",
            "telephone_number": "308-534-7170",
            "fax_number": "308-534-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E 4TH ST",
            "address_2": "SUITE 1",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691014304",
            "telephone_number": "308-534-7170",
            "fax_number": "308-534-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN CANELL ED D",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "FIERRO",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "308-534-7170",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "212944723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN MIS",
            "identifier": "259226000",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NE ID",
            "identifier": "212944723",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "A937805",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affilliates in Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.