Melissa Dobbs

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

100010 Issued in AK

Practice address

4272 South Timberland Loop
Wasilla, AK 99654-0000

Phone

(907) 841-6377

NPI assigned

Jul 2, 2015

Sex

Female

Sole proprietor

Yes

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.

• A Perfect Fit Ak

  • Behavior Analyst
  • Wasilla, AK
  • NPI 1174912257
  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 22, 2016.

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1992188478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 879455",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996879455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4272 SOUTH TIMBERLAND LOOP",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996540000",
            "telephone_number": "907-841-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBS",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AK",
            "license": "100010",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "105335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leilani Carol Disselkoen
• Martha Dixon
• DM Care Coordination
• Jonah Mathew Dobbs
• Macy Ann Dobbs
• Brown Hal Docherty
• Jessica Docherty, CARE COORDINATOR
• Elishaba Doerksen
• Megan Dollarhide
• Nicole Domaschuk-Jackson, PT, DPT

• All providers in Wasilla, AK
• Behavior Analyst in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.