MELISSA NICOLE EDWARDS (NPI# 1497204721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497204721 |
| Entity Type | Individual |
| Full Name | MELISSA NICOLE EDWARDS |
| Other Name | MELISSA REAVES |
| Practice Address |
20303 Kelly Rd Detroit MI 48225-1206 |
| Mailing Address |
11777 Stamford Ave Warren MI 48089-1261 |
| Practice Telephone | 3133081400 |
| Mailing Telephone | 3133122431 |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2017-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301017085 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396095451 | Melissa Edwards | Social Worker | 16838 E. 8 Mile Rd, Detroit, MI 48038 | 2012-09-17 |
| 1144587494 | Melissa Anne Edwards | Physical Therapy Assistant | 6272 Millwood Dr, Warrenton, VA 20187-7924 | 2012-04-11 |
| 1326238767 | Melissa Ann Edwards | Dentist | 434 W Main St, Gardner, KS 66030-1184 | 2007-08-01 |
| 1215020979 | Melissa Renee Edwards | Occupational Therapist | 510 E 17th Street, 400, Idaho Falls, ID 83404 | 2006-10-02 |
| 1316560022 | Melissa Edwards | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St, Richmond, VA 23298-5051 | 2020-05-28 |
| 1295398089 | Melissa Edwards | Occupational Therapist | 3391 Richmond Ave, Staten Island, NY 10312-2025 | 2019-04-17 |
| 1982169140 | Melissa Edwards | Behavioral Analyst | 4950 W 23rd St Ste 1, Erie, PA 16506-5802 | 2019-02-01 |
| 1588139497 | Melissa Edwards | Social Worker | 731 Main St Ste 122, Monroe, CT 06468-2872 | 2018-10-06 |
| 1881172641 | Melissa Kay Edwards | Counselor | 1800 Community, Clinton, MO 64735 | 2018-08-03 |
| 1497232052 | Melissa Anne Edwards | Counselor | 1270 Natividad Rd, Salinas, CA 93906 | 2018-07-25 |
| Street Address |
20303 KELLY RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48225-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225296130 | Kathryn Anne Clampitt-voiles | Social Worker | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2008-05-28 |
| 1699391912 | Juliet Hope Gustafson | Social Worker | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2020-06-23 |
| 1760006910 | Hailie Hogan-wilson | Student in an Organized Health Care Education/Training Program | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2020-06-03 |
| 1679104301 | Stacy Jean-baptiste | Social Worker | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2020-01-31 |
| 1710525241 | Jason Williams | Peer Specialist | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2019-12-16 |
| 1194377507 | Dorothy Jean Yarrington | Social Worker | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2019-07-15 |
| 1588137376 | Detroit Community Health Connection, Inc | Clinic/Center | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2019-01-04 |
| 1821598160 | Arielle Rochell Wilson | Social Worker | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2018-02-13 |
| 1780182436 | Lakeidra Bronner | Social Worker | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2018-01-29 |
| 1366976722 | Delisa Glaspie | Community/Behavioral Health | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2017-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639660046 | Ingrid Lewis | Registered Nurse | 20831 Ridgemont Rd, Harper Woods, MI 48225 | 2018-05-21 |
| 1699264598 | Jeffrey Brooks | Licensed Practical Nurse | 20415 Balfour St, Apt 4, Harper Woods, MI 48225 | 2018-05-07 |
| 1518373430 | Meah Khrysteana Tweh | Technician, Other | 20995 Bournemouth, Harper Woods, MI 48225 | 2014-07-11 |
| 1376878256 | Thomas Thurman | Social Worker | 20303 Kelly Rd., Detroit, MI 48225 | 2009-10-09 |
| 1376799320 | Ronald Brian Cornish | Massage Therapist | 20010 Kelly Rd, Harperwoods, MI 48225 | 2008-08-11 |
| 1811167562 | Family First Home Care LLC | Home Health | 19959 Vernier, Suite 1a, Harper Woods, MI 48225 | 2008-03-10 |
| 1922185982 | Odette Roye Haouilou | Dentist | 18000 Vernier, Harper Woods, MI 48225 | 2006-11-01 |
| 1831286236 | Gerald Joseph Fedon | Dentist | 20840 Vernier Rd, Harper Woods, MI 48225 | 2006-10-06 |
| 1790213759 | Horacio Enrique Falcon | Dentist | 20690 Vernier Rd, Harper Woods, MI 48225 | 2017-06-02 |
| 1609058585 | Patricia Ann Peet | Durable Medical Equipment & Medical Supplies | 19566 Kelly Rd, Harper Woods, MI 48225 | 2007-12-03 |
| Find all providers in zip 48225 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285129221 | Wayne State University | Psychologist | 540 E Canfield St Ste 1241, Detroit, MI 48201 | 2018-06-22 |
| 1508362922 | Claudia Anagurthi | Psychologist | Chm/specilty Center, 3950 Beaubien Ground Fl, Detroit, MI 48201 | 2018-04-04 |
| 1992136295 | Marilyn Franklin | Psychologist | 9000 E Jefferson Ave Apt 28-17, Detroit, MI 48214-2940 | 2013-12-12 |
| 1144669318 | Julia Helene Bellamy | Psychologist | 3901 Chrysler Dr Ste 3b, Detroit, MI 48201-2167 | 2013-06-20 |
| 1255675005 | Nicole Henriksen | Psychologist | 4201 Saint Antoine St Ste 4b, Detroit, MI 48201 | 2012-11-17 |
| 1093061517 | Kinneta Easter Mason | Psychologist | 19738 Fielding St, Detroit, MI 48219 | 2012-08-02 |
| 1376859785 | Eugene Ronald Craig | Psychologist | 300 Riverfront Dr, Suite 16 H, Detroit, MI 48226-4516 | 2010-08-23 |
| 1902126725 | Dana Raquel Lasenby | Psychologist | 3434 Russell St, Suite #307, Detroit, MI 48207-2062 | 2010-06-03 |
| 1699004614 | Monica Anne Moore | Psychologist | 18940 Oak Dr, Detroit, MI 48221-2264 | 2009-12-22 |
| 1750610796 | Sekai Denard Broaden | Psychologist | 14952 Rosemont Ave, Detroit, MI 48223-2364 | 2009-12-22 |
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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.