MELTON PSYCHOLOGY GROUP, LLC


Address: 800 N 1st Ave, Phoenix, AZ 85003-1402
Phone: 6028321428

MELTON PSYCHOLOGY GROUP, LLC (NPI# 1063953404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063953404
Entity Type Organization
Organization Name MELTON PSYCHOLOGY GROUP, LLC
Practice Address 800 N 1st Ave
Phoenix
AZ 85003-1402
Practice Telephone 6028321428
Mailing Telephone 6028321428
Enumeration Date 2017-03-18
Last Update Date 2017-03-18
Authorized Official Name DR. MICHELLE L MELTON (CLINICAL PSYCHOLOGIST)
Authorized Official Telephone 6028321428
Authorized Official Credential PSYD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
4459 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 800 N 1ST AVE
City PHOENIX
State AZ
Zip Code 85003-1402

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1346890308 Michael D Rabara Psychologist 1450 E Indian School Rd Ste 106, Phoenix, AZ 85014-4954 2019-09-12
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1336705888 Alice Claudia Pickering Psychologist 2955 W Villa Maria Dr, Phoenix, AZ 85053-1107 2019-05-09
1487217584 Vitae Felix Psychologist 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 2019-04-16
1346725249 Katharine D Sluys Psychologist 205 N Phoenix Rd Ste A, Phoenix, OR 97535-9100 2018-09-27
1235626565 Celice Korsten Psychologist 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 2018-04-23
1073028023 Jodi Ralyn Cuneo Psychologist 5060 N 19th Ave Ste 101, Phoenix, AZ 85015-3211 2017-12-12
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Competitor

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City PHOENIX
Zip Code 85003

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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