Active NPI
Wellpsyche, Inc.
- Psychologist
- Rome, GA
National Provider Identifier
1992939201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- WELLPSYCHE, INC.
- Practice address
- 501 Broad St Ste 306
Rome, GA 30161-3096 - Phone
- (706) 232-8330
- Fax
- (844) 873-4760
- NPI assigned
- May 14, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shanna Melton, PSY.D.
- Title
- Owner/Psychologist
- Phone
- (706) 232-8330
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
501 Broad St Ste 306
Rome, GA 30161-3096
Mailing address
501 Broad St Ste 306
Rome, GA 30161-3096
Phone (706) 232-8330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 434425435D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
501 Broad St
Ste 306
Rome, GA 30161
Phone (678) 235-5790
106 E 5th Ave
Rome, GA 30161
Phone (706) 232-8330
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Rome, GA
- NPI 1851432058
-
- Psychologist
- Rome, GA
- NPI 1235290701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687305600000",
"number": "1992939201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 BROAD ST STE 306",
"city": "ROME",
"state": "GA",
"postal_code": "301613096",
"telephone_number": "706-232-8330",
"fax_number": "844-873-4760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 BROAD ST STE 306",
"city": "ROME",
"state": "GA",
"postal_code": "301613096",
"telephone_number": "706-232-8330",
"fax_number": "844-873-4760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLPSYCHE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-14",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A",
"authorized_official_last_name": "MELTON",
"authorized_official_first_name": "SHANNA",
"authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
"authorized_official_telephone_number": "706-232-8330",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "434425435D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.