MELINDA TILLEY (NPI# 1366077356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366077356 |
| Entity Type | Individual |
| Full Name | MELINDA TILLEY |
| Practice Address |
1200 Polk St Lynchburg VA 24504-3102 |
| Mailing Address |
915 Court St Lynchburg VA 24504-1603 |
| Practice Telephone | 4345155310 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
1200 POLK ST |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24504-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689839565 | Family Preservation Services, Inc | Community/Behavioral Health | 1200 Polk St, Lynchburg, VA 24504-3102 | 2008-07-21 |
| 1598255028 | Eric Douglas Dragan | Psychologist | 1200 Polk St, Lynchburg, VA 24504-3102 | 2018-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881230928 | Lewis Medical Transport LLC | Non-emergency Medical Transport (VAN) | 108 Carnell Lane, Lynchburg, VA 24504 | 2019-11-25 |
| 1477048973 | Ptc Wellness Centers Bwxt | Family Medicine | 1570 Mt. Athos Rd., Lynchburg, VA 24504 | 2018-06-27 |
| 1942702824 | Esther Charles Jacob | Pharmacist | 800 Fifth Street, Lynchburg, VA 24504 | 2018-03-06 |
| 1295241123 | Denise Marie Ditto | Counselor | 1900 Tate Springs Rd Suite 3, Lynchburg, VA 24504 | 2017-12-14 |
| 1689103426 | Central Virginia Alliance for Community Living, Inc. | Registered Nurse | 501 12th Street, Suite A, Lynchburg, VA 24504 | 2017-06-06 |
| 1780058628 | Community Access Network | Clinic/Center | 800 5th Street Suite A, Lynchburg, VA 24504 | 2015-11-16 |
| 1053716233 | Danielle Kelly Foltz | Nurse Practitioner | Johnson Health Center, 320 Federal Street, Lynchburg, VA 24504 | 2014-10-30 |
| 1013215441 | Erika Gioia Theodorides | Counselor | 1000 Jefferson St., Suite 2c, Lynchburg, VA 24504 | 2011-03-09 |
| 1326211616 | Jesse Calloway's Family Services | Exclusive Provider Organization | 1129 Cosby St, Lynchburg, VA 24504 | 2008-04-08 |
| 1366624108 | Lynchburg Dept Social Svs | Social Worker | 99 9th Street, Lynchburg, VA 24504 | 2007-12-04 |
| Find all providers in zip 24504 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407346935 | Belva Shelor | Psychologist | 1201 Floyd Street, Lynchburg, VA 24501 | 2018-05-10 |
| 1316437841 | Mary Deckard | Psychologist | 2501 Linkhorne Dr, Lynchburg, VA 24503-3315 | 2018-05-10 |
| 1780174219 | Brittany Rae Jones | Psychologist | 409 Perrymont Ave, Lynchburg, VA 24502-1103 | 2018-05-10 |
| 1598255028 | Eric Douglas Dragan | Psychologist | 1200 Polk St, Lynchburg, VA 24504-3102 | 2018-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299461 | Shelly Liaros | Psychologist | 405 Grafton Dr, Yorktown, VA 23692-2155 | 2020-09-10 |
| 1609480953 | Laura Taylor | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3014, Fairfax, VA 22031-4530 | 2020-09-03 |
| 1346853165 | Laura Meghan O'malley | Psychologist | 300 Apollo Ave, Danville, VA 24540-4227 | 2020-08-31 |
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1922611169 | Caroline Faith Dewerd | Psychologist | 4638 Battenburg Ln, Fairfax, VA 22030-6267 | 2020-08-27 |
| 1205467891 | Jennifer Molepske | Psychologist | 430 E Shirley Ave Ste B2, Warrenton, VA 20186-3725 | 2020-01-31 |
| 1811538077 | Brittany Lee Gill | Psychologist | 3005 Clarke Dr, Virginia Beach, VA 23456-7919 | 2019-09-30 |
| 1467002915 | Michelyn Cynthia Kemp | Psychologist | 4656 Noland Blvd, Williamsburg, VA 23188-7587 | 2019-09-17 |
| 1851948830 | Kyle Jacob Maziarski | Psychologist | 100 Panther Dr, Fredericksburg, VA 22406-7473 | 2019-08-23 |
| 1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
| Find all providers with the same taxonomy | ||||
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| 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.