GEORGE MELLOS MD PLLC (NPI# 1619422649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619422649 |
| Entity Type | Organization |
| Organization Name | GEORGE MELLOS MD PLLC |
| Practice Address |
43200 Dequindre Rd Ste 104 Sterling Heights MI 48314-1707 |
| Mailing Address |
28890 Village Ln Farmington Hills MI 48334-3154 |
| Practice Telephone | 5867994350 |
| Practice Fax Number | 5867994279 |
| Mailing Telephone | 2482073826 |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |
| Authorized Official Name | GEORGE E MELLOS (OWNER) |
| Authorized Official Telephone | 2482073826 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
4301050595 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
43200 DEQUINDRE RD STE 104 |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48314-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649262296 | Michael Butkus | Psychologist | 43200 Dequindre Rd, Ste 104, Sterling Heights, MI 48314-1707 | 2005-08-19 |
| 1659632370 | Cadwell Therapeutics, Inc. | Durable Medical Equipment & Medical Supplies | 43200 Dequindre Rd, Suite 104, Sterling Heights, MI 48314-1707 | 2012-05-30 |
| 1679845853 | Ashesh Bharatbhai Vyas | Physical Therapist | 43200 Dequindre Rd, Sterling Heights, MI 48314-1707 | 2012-02-02 |
| 1366629156 | Josephine Adib Iskander | Internal Medicine | 43200 Dequindre Rd, Ste 104, Sterling Heights, MI 48314-1707 | 2008-01-24 |
| 1346437597 | Hani Mekhael Md Pllc | Psychiatry & Neurology | 43200 Dequindre Rd, Ste 104, Sterling Heights, MI 48314-1707 | 2007-10-02 |
| 1316134117 | John G. Pappas | Dentist | 43200 Dequindre Rd, Suite 107, Sterling Heights, MI 48314-1707 | 2007-09-26 |
| 1376730176 | James J Caris | Dentist | 43200 Dequindre Rd, Suite 107, Sterling Heights, MI 48314-1707 | 2007-09-26 |
| 1528194545 | Clifford Weldon | Internal Medicine | 43200 Dequindre Rd, Ste 105, Sterling Heights, MI 48314-1707 | 2007-02-26 |
| 1255408613 | Antonio Phillip Morici | Chiropractor | 43200 Dequindre Rd, Ste 150, Sterling Heights, MI 48314 | 2006-11-29 |
| 1841255494 | Alecia Mathog Rice | Dentist | 43200 Dequindre Rd, Suite 104, Sterling Heights, MI 48314-1707 | 2006-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961720 | Sterling Heights Comfort Care LLC | Assisted Living Facility | 44456 Mound Rd, Sterling Heights, MI 48314 | 2020-01-13 |
| 1053875591 | Preztige Medical Transportation | Non-emergency Medical Transport (VAN) | 43656 Vintage Oaks Drive, Sterling Heights, MI 48314 | 2019-01-29 |
| 1396215935 | Alice Arulselvi Andrews | Nurse Practitioner | 4697 Aspenwood Dr, Sterling Heights, MI 48314 | 2018-11-27 |
| 1861938680 | Hope Physical Therapy | Physical Therapist | 42301 Mound Rd, Sterling Heights, MI 48314 | 2017-01-18 |
| 1972050292 | Sudomir Sleep Solutions, L.L.C. | Pediatrics | 43184 Dequindre Rd., Suite 206, Sterling Heights, MI 48314 | 2016-09-02 |
| 1457720534 | Soltions 2 Life LLC | Home Health | 3220 Cherry Creek Lane, Sterling Heights, MI 48314 | 2015-09-18 |
| 1326449091 | Lauren Ehardt | Dentist | 43060 Mound Rd, Sterling Heights, MI 48314 | 2014-09-11 |
| 1134554819 | Amy Kathryn Barnes | Social Worker | 5995 Nineteen Mile Rd, Sterling Heights, MI 48314 | 2013-09-12 |
| 1952666117 | Michigan's Dental Health Professional | Dentist | 42370 Van Dyke Ave Suite 101, Sterling Hts, MI 48314 | 2012-07-12 |
| 1699051557 | Sanju Koithara | Physical Therapist | 2644 Balsam Way Drive, Sterling Heights, MI 48314 | 2011-10-24 |
| Find all providers in zip 48314 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033128533 | David J Villanueva | Psychiatry & Neurology | 5528 Metropolitan Pkwy, Sterling Heights, MI 48310-4105 | 2006-08-05 |
| 1154358570 | Concepcion Ty-ancog | Psychiatry & Neurology | 5528 Metropolitan Parkway, Sterling Heights, MI 48310-4105 | 2006-06-28 |
| 1912916347 | Robert Alan Pearlman | Psychiatry & Neurology | 5528 Metropolitan Pkwy, Sterling Heights, MI 48310-4105 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316376056 | Esmaeil Emami | Psychiatry & Neurology | 2955 Franklin Rd, Bloomfield Hills, MI 48302-0917 | 2013-11-04 |
| 1154760312 | Samantha Fugate Kennedy | Psychiatry & Neurology | 909 Fee Rd Ste B119, East Lansing, MI 48824 | 2013-06-21 |
| 1407199961 | David Donald Krohn | Psychiatry & Neurology | 563 Highland Park Dr, Traverse City, MI 49686-2863 | 2013-04-03 |
| 1164712055 | Tatjana Maric | Psychiatry & Neurology | 420 Baltimore Dr Ne, Grand Rapids, MI 49503-3934 | 2011-04-12 |
| 1972893824 | Katherine Barbara Krive | Psychiatry & Neurology | 801 S Waverly Rd Ste 100, Lansing, MI 48917-4200 | 2011-04-12 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1295056653 | Veronica Yap Tan | Psychiatry & Neurology | 23354 Portage Way, Apt. 2212, Novi, MI 48375 | 2010-06-18 |
| 1548588874 | Katie Alanna Keller | Psychiatry & Neurology | 79 Alexandrine West, Detroit, MI 48201 | 2010-05-11 |
| 1538390133 | Behavioral Health Associates Pllc | Psychiatry & Neurology | 19500 Middlebelt Rd, Suite 350e, Livonia, MI 48152-2196 | 2009-07-30 |
| 1235375775 | Kristine Baker | Psychiatry & Neurology | 721 Cherokee St, Traverse City, MI 49684-1401 | 2009-01-06 |
| Find all providers with the same taxonomy | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48314 |
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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.