DR. MELANIE HOPE JACKSON (NPI# 1619953726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619953726 |
| Entity Type | Individual |
| Full Name | DR. MELANIE HOPE JACKSON |
| Credential | PHD, LLC |
| Practice Address |
2864 Dauphin St Suite A Mobile AL 36606-2479 |
| Practice Telephone | 2512598573 |
| Practice Fax Number | 2514707609 |
| Mailing Telephone | 2512598573 |
| Mailing Fax Number | 2514707609 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2008-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1369 | AL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | GROUP MEDICARE | H398 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013228600 | Melanie J Jackson | Counselor | 5840 Red Bug Lake Rd, #1548, Winter Springs, FL 32708-5011 | 2010-06-29 |
| 1942421557 | Melanie B Jackson | Licensed Practical Nurse | 605 West Gordon, Thomaston, GA 30286 | 2007-05-01 |
| 1215472444 | Melanie Jackson | Registered Nurse | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2016-12-25 |
| 1528421617 | Melanie Kay Jackson | Social Worker | 1436 S Shelby St, Louisville, KY 40217-1107 | 2016-04-05 |
| 1750769659 | Melanie Jackson | Internal Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2015-05-11 |
| 1659711463 | Melanie A Jackson | Internal Medicine | 4805 Ne Glisan St, Portland, OR 97213-2933 | 2013-06-26 |
| 1174711550 | Melanie L Jackson | Occupational Therapist | 300 Ne Missouri Rd, Lees Summit, MO 64086-4714 | 2007-10-10 |
| 1134313364 | Melanie Jackson | Physician Assistant | 10201 66th Rd, Ob/gyn Dept 3rd Floor, Forest Hills, NY 11375-2029 | 2007-08-30 |
| 1205046661 | Melanie Jackson | Nurse Practitioner | 372 Post Ave, Westbury, NY 11590-2201 | 2007-05-23 |
| 1841406030 | Melanie Wilma Jackson | Dentist | 280 Mamaroneck Ave, Suite 305, White Plains, NY 10605-1438 | 2007-05-15 |
| Street Address |
2864 DAUPHIN ST SUITE A |
| City | MOBILE |
| State | AL |
| Zip Code | 36606-2479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154714384 | Kelly Fountain, M.s., L.p.t., L.L.C. | Counselor | 2864 Dauphin St, Suite A, Mobile, AL 36606-2479 | 2015-03-12 |
| 1003148487 | Kelly Rawls Fountain | Counselor | 2864 Dauphin St, Suite A, Mobile, AL 36606-2479 | 2010-02-09 |
| 1669647913 | M Hope Jackson Phd LLC | Psychologist | 2864 Dauphin St, Suite A, Mobile, AL 36606-2479 | 2008-04-28 |
| 1659300309 | Catalina Arata | Psychologist | 2864 Dauphin St, Suite A, Mobile, AL 36606-2479 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216388 | Kaitlyn Culotta Dozier | Student in an Organized Health Care Education/Training Program | 936 Grant Park Drive, Mobile, AL 36606 | 2020-08-18 |
| 1902466758 | Gulf Coast Totalcare | Case Management | 3280 Dauphin Street, Building C, Suite 1, Mobile, AL 36606 | 2019-06-14 |
| 1023581246 | Elizabeth Fair | Psychologist | 3168 Midtown Park S Ste E, Mobile, AL 36606 | 2019-01-10 |
| 1962987420 | Asra Bashir | Pharmacist | 101 East Interstate 65 Service Rd S, Mobile, AL 36606 | 2018-10-01 |
| 1902398274 | Tunisia London | Social Worker | 601 Bel Air Blvd Ste 411, Mobile, AL 36606 | 2018-06-03 |
| 1962925677 | Tasheka Janine Scott I | Nurse's Aide | 629 Crenshaw Street, Mobile, AL 36606 | 2017-07-25 |
| 1295128189 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1450 Tingle Circle West, Mobile, AL 36606 | 2015-03-17 |
| 1437441623 | Julia Marco Williams | Counselor | 605 Bel Air Blvd Ste 33, Mobile, AL 36606 | 2011-05-06 |
| 1235363516 | Jenny M Neese | Dietitian, Registered | 2504 Dauphin Street, Suite J, Mobile, AL 36606 | 2009-05-14 |
| 1609000223 | Bay Area Nutrition, Inc | Dietitian, Registered | 2029-b Airport Blvd, Suite 195, Mobile, AL 36606 | 2009-05-11 |
| Find all providers in zip 36606 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023581246 | Elizabeth Fair | Psychologist | 3168 Midtown Park S Ste E, Mobile, AL 36606 | 2019-01-10 |
| 1669887063 | Phillip Nelson Smith | Psychologist | University of South Alabama, 75 S. University Blvd., Ucom1000, Mobile, AL 36688-0001 | 2014-06-24 |
| 1346558285 | David Neesmith | Psychologist | 3929 Airport Blvd., Ste 2-520, Mobile, AL 36609 | 2010-09-14 |
| 1992965313 | Mobile Psychological, LLC | Psychologist | 2411 Old Shell Rd, Mobile, AL 36607-3019 | 2008-06-10 |
| 1487813804 | Danielle Andria Beech | Psychologist | 1110 Montlimar Dr Ste 500, Mobile, AL 36609-1794 | 2008-06-02 |
| 1558565440 | Lucile T Williams | Psychologist | Po Box 850818, Mobile, AL 36685-0818 | 2007-06-13 |
| 1235274002 | Jennifer Langhinrichsen-rohling | Psychologist | 307 University Blvd North, University Commons, Ste 2000, Mobile, AL 36688-0001 | 2007-02-20 |
| 1992842629 | Celina Rebecca Guisinger | Psychologist | 4332 Boulevard Park S Ste A, Mobile, AL 36609-3423 | 2007-01-31 |
| 1215081914 | Laura Goulden | Psychologist | 2450 Old Shell Rd # A, Mobile, AL 36607-3020 | 2007-01-22 |
| 1184775736 | Jason (jake) Epker | Psychologist | 2450a Old Shell Rd, Mobile, AL 36607-3020 | 2007-01-12 |
| Find all providers in MOBILE | ||||
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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.